Individual provider Active NPI

Marimeg Quinn Clairwood, M.D.

  • Dermatology Physician
  • Danbury, CT
National Provider Identifier
1164719043
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
053821 Issued in CT
Practice address
25 Tamarack Ave
Danbury, CT 06811-4829
Phone
(203) 797-8990
NPI assigned
Jun 29, 2011
Last updated
Feb 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 053821 CT Primary

Addresses

Primary practice location

25 Tamarack Ave
Danbury, CT 06811-4829

Mailing address

25 Tamarack Ave
Danbury, CT 06811-4829
Phone (203) 797-8990

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
I20160331000796 CT Practitioner - Dermatology 3678705787 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Connecticut School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

399 Farmington Ave
Suite 260
Farmington, CT 06032-1979
Phone (860) 676-7005

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision21
Removal of skin lesions331
Removal or shaving of skin growth1-10
Skin biopsy235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
053821CTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermcare PC Dermatology CurrentSince Aug 26, 2015 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince Feb 1, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

280 S Main St
Ste 203
Cheshire, CT 06410
Phone (860) 676-7000

25 Tamarack Ave
Danbury, CT 06811
Phone (203) 797-8990

399 Farmington Ave
Ste 210
Farmington, CT 06032
Phone (860) 548-7338

399 Farmington Ave
Ste 260
Farmington, CT 06032
Phone (606) 767-0008

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

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

Interoperability endpoints

  • Direct secure messaging: marimeg.clairwood@xdr.hhchealthdirect.org

Organizations & group practices 4

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1164719043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TAMARACK AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114829",
            "telephone_number": "203-797-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 TAMARACK AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114829",
            "telephone_number": "203-797-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIRWOOD",
        "first_name": "MARIMEG",
        "middle_name": "QUINN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "053821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.