Westerly Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD11609 Issued in RI

Legal business name

WESTERLY FAMILY PRACTICE LLC

Practice address

62 Wells St
Westerly, RI 02891-2924

Phone

(401) 348-5005

NPI assigned

Sep 7, 2007

Last updated

Sep 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hartmut Doerwaldt, MDNPI 1265496046

Title

Owner

Phone

(401) 348-5005

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Hartmut A Doerwaldt, MD

  • Family Medicine Physician
  • New London, CT
  • NPI 1265496046
  NPD (past) Authorized official

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1174718639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 WELLS ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912924",
            "telephone_number": "401-348-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 WELLS ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912924",
            "telephone_number": "401-348-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERLY FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "DOERWALDT",
        "authorized_official_first_name": "HARTMUT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-348-5005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD11609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara A Weathers, NP
• Rebekah West
• Westerly Chariho Arc, Inc.
• Westerly Dental Group
• Westerly Eye Care, LLC
• Westerly Health Center Associates
• Westerly Hospital Cardiology Department
• Westerly Hospital Dietary Department
• Westerly Medical Center Inc
• Westerly Nursing and Rehab LLC

• Family Medicine Physician in Westerly, RI
• Providers in Westerly, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.