Organization Active NPI

Scovill Medical Group, PC

  • Internal Medicine Physician
  • Waterbury, CT
National Provider Identifier
1114929379
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SCOVILL MEDICAL GROUP, PC
Practice address
56 Franklin St
Waterbury, CT 06706-1221
Phone
(203) 709-8888
Fax
(203) 709-8689
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Franco Galasso, MD
Title
President
Phone
(203) 597-9410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

56 Franklin St
Waterbury, CT 06706-1221

Mailing address

56 Franklin St
FL 3
Waterbury, CT 06706-1221
Phone (203) 709-8873

National Provider Directory

National Provider Directory

Locations

305 Church St
Ste 6
Naugatuck, CT 06770
Phone (203) 729-5277

133 Scovill St
Ste 101
Waterbury, CT 06706
Phone (203) 709-3850

1320S Main St
Waterbury, CT 06706
Phone (203) 597-9410

80 Phoenix Ave
Ste 303
Waterbury, CT 06702
Phone (203) 754-0412

752 Highland Ave
Waterbury, CT 06708
Phone (203) 597-9112

102 Wolcott Rd
Rear 3
Wolcott, CT 06716
Phone (203) 441-4405

102 Wolcott Rd
Wolcott, CT 06716

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1114929379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 FRANKLIN ST",
            "address_2": "FL 3",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061221",
            "telephone_number": "203-709-8873",
            "fax_number": "203-709-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 FRANKLIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061221",
            "telephone_number": "203-709-8888",
            "fax_number": "203-709-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOVILL MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "GALASSO",
        "authorized_official_first_name": "FRANCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-597-9410",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.