Jonathan D Parkhurst, MD

Key facts

NPI

1164628889

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

045374 (CT)

Practice address

1625 Straits Tpke Ste 110
Middlebury, CT 06762-1836

Phone

(203) 758-8107

Fax

(203) 575-5225

NPI assigned

Jun 21, 2007

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Prospect CT Medical Foundation, Inc. Family Medicine Physician · Manchester, CT · NPI 1144677568
  Medicare reassignment Care Compare group NPD CT · INTERNAL MEDICINE
• Alliance Medical Group of Greater Waterbury PC Internal Medicine Physician · Middlebury, CT · NPI 1750306015
  NPD (past) INTERNAL MEDICINE

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hartford Healthcare at Home, Inc Home Health Agency · Wethersfield, CT · NPI 1073529566
  Care Compare affiliation Home health agency
• New England Home Care Inc. Home Health Agency · Rocky Hill, CT · NPI 1255333597
  Care Compare affiliation Home health agency
• Prospect Waterbury Home Health, Inc. Home Health Agency · Watertown, CT · NPI 1265880413
  Care Compare affiliation Home health agency
• Prospect Waterbury, Inc. General Acute Care Hospital · Waterbury, CT · NPI 1477902641
  Care Compare affiliation Hospital
• Saint Mary'S Hospital, Inc. General Acute Care Hospital · Waterbury, CT · NPI 1760426969
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Internal Medicine

Education

University of Minnesota Medical School, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prospect CT Medical Foundation Inc (287 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uconn Health Community Network Home Health, Inc. Home health agency · Watertown, CT · CCN 077085
• Hartford Healthcare at Home Home health agency · East Hartford, CT · CCN 077041
• Elara Caring Home health agency · Rocky Hill, CT · CCN 077163
• Waterbury Hospital Hospital · Waterbury, CT · CCN 070005
• Saint Mary'S Hospital Hospital · Waterbury, CT · CCN 070016

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathanparkhurst@amggw.allscriptsdirect.net

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 6, 2024.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1164628889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 STRAITS TPKE STE 110",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621836",
            "telephone_number": "203-758-8107",
            "fax_number": "203-575-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 STRAITS TPKE STE 110",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621836",
            "telephone_number": "203-758-8107",
            "fax_number": "203-575-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKHURST",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "045374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Middlebury, CT · Internal Medicine Physician in Connecticut