NPIMap

Individual provider Active NPI

Stephenie C. Thurber, D. O.

  • Family Medicine Physician
  • Hartford, CT
National Provider Identifier
1144209560
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
041439 Issued in CT
Practice address
21 Grand St
Hartford, CT 06106-1541
Phone
(860) 550-7500
Fax
(860) 550-7561
NPI assigned
Jan 13, 2006
Last updated
Jul 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 041439 CT Primary
Internal Medicine Physician 207R00000X 041439 CT
General Practice Physician 208D00000X 041439 CT

Addresses

Primary practice location

21 Grand St
Hartford, CT 06106-1541

Mailing address

21 Grand St
Hartford, CT 06106-1541
Phone (860) 550-7500

Other identifiers 1

IdentifierTypeStateIssuer
001414391MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060104000401 CT Practitioner - Family Practice 4183647209 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041439CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley Internal Medicine CurrentSince Dec 15, 2018 Accepting new patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Dec 1, 2021 Accepting new patients
Midstate Medical Center CurrentSince Dec 15, 2018 Accepting new patients
Midstate Medical Center CurrentSince Dec 15, 2018 Accepting new patients
Wheeler Clinic Inc CurrentSince Mar 1, 2021 Accepting new patients
Wheeler Clinic Inc CurrentSince Mar 1, 2021 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Dec 15, 2018 Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Family Medicine Past Accepting new patients
Heartland Psychological Services PC Past Accepting new patients
Heartland Medical Services, P.C. Family Medicine Past Accepting new patients
Catholic Charities of Fairfield County, Inc. PastSince Sep 8, 2003 Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

2520 Main St
Glastonbury, CT 06033
Phone (860) 430-8383

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871

1025 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 696-2296

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: stephenie.thurber.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 12

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1144209560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GRAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061541",
            "telephone_number": "860-550-7500",
            "fax_number": "860-550-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GRAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061541",
            "telephone_number": "860-550-7500",
            "fax_number": "860-550-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURBER",
        "first_name": "STEPHENIE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D. O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "041439",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "041439",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "041439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001414391",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.