NPIMap

Organization Active NPI

Obstetrics-Gynecology & Infertility Group PC

  • Obstetrics & Gynecology Physician
  • Cheshire, CT
National Provider Identifier
1144228941
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP PC
Practice address
675 S Main St
Cheshire, CT 06410-3153
Phone
(203) 272-1811
Fax
(203) 250-2162
NPI assigned
Jul 14, 2005
Last updated
Nov 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Dr. Kim C Fletcher, MDNPI 1710984372
Title
President/Managing Partner
Phone
(203) 272-1811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X CT Primary
Advanced Practice Midwife 367A00000X CT

Addresses

Primary practice location

675 S Main St
Cheshire, CT 06410-3153

Mailing address

675 S Main St
Cheshire, CT 06410-3153
Phone (203) 272-1811

Other identifiers 3

IdentifierTypeStateIssuer
004045811MedicaidCT
CM0873OtherCTMEDICARE RAILROAD
004262846MedicaidCT

National Provider Directory

National Provider Directory

Locations

675 S Main St
Cheshire, CT 06410
Phone (203) 250-2125

675 S Main St
Ste A
Cheshire, CT 06410

326 W Main St
Milford, CT 06460
Phone (203) 204-3960

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1144228941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103153",
            "telephone_number": "203-272-1811",
            "fax_number": "203-250-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103153",
            "telephone_number": "203-272-1811",
            "fax_number": "203-250-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/MANAGING PARTNER",
        "authorized_official_telephone_number": "203-272-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004045811",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CM0873",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004262846",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.