Individual provider Active NPI

Spencer G Erman, MD

  • Family Medicine Physician
  • Avon, CT
National Provider Identifier
1144206699
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
029344 Issued in CT
Practice address
339 W Main St
Hartford Medical Group
Avon, CT 06001-4322
Phone
(860) 696-2150
Fax
(860) 696-2160
NPI assigned
Dec 16, 2005
Last updated
Oct 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 029344 CT Primary

Addresses

Primary practice location

339 W Main St
Hartford Medical Group
Avon, CT 06001-4322

Mailing address

339 W Main St
Hartford Medical Group
Avon, CT 06001-4322
Phone (860) 696-2150

Other identifiers 1

IdentifierTypeStateIssuer
001293448MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216001026 CT Practitioner - Family Practice 2668653106 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Family Medicine CurrentSince Nov 9, 2020 Accepting new patients
Hartford Physician Services PC Family Medicine Past Accepting new patients

Locations

21 South Rd
Farmington, CT 06032
Phone (860) 679-4600

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: spencer.erman.npi1144206699.phpct@direct.optumcare.masshiway.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1144206699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 W MAIN ST",
            "address_2": "HARTFORD MEDICAL GROUP",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014322",
            "telephone_number": "860-696-2150",
            "fax_number": "860-696-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W MAIN ST",
            "address_2": "HARTFORD MEDICAL GROUP",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014322",
            "telephone_number": "860-696-2150",
            "fax_number": "860-696-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERMAN",
        "first_name": "SPENCER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "029344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001293448",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.