Organization Active NPI

West Hartford Pediatrics, LLC

  • Pediatrics Physician
  • West Hartford, CT
National Provider Identifier
1184622755
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
028184 Issued in CT
Legal business name
WEST HARTFORD PEDIATRICS, LLC
Practice address
785 Farmington Ave
West Hartford, CT 06119-1673
Phone
(860) 523-4100
Fax
(860) 523-0086
NPI assigned
Jul 8, 2005
Last updated
Feb 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Thomas N. Fromson, M.D., M.D.
Title
Owner
Phone
(860) 523-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 028184 CT Primary

Addresses

Primary practice location

785 Farmington Ave
West Hartford, CT 06119-1673

Mailing address

785 Farmington Ave
West Hartford, CT 06119-1673
Phone (860) 523-4100

Other identifiers 1

IdentifierTypeStateIssuer
004174067MedicaidCT

Other names 1

  • Thomas N. Fromson, M.D. Former legal business name

National Provider Directory

National Provider Directory

Locations

785 Farmington Ave
West Hartford, CT 06119
Phone (860) 523-4100

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1184622755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191673",
            "telephone_number": "860-523-4100",
            "fax_number": "860-523-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191673",
            "telephone_number": "860-523-4100",
            "fax_number": "860-523-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HARTFORD PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "FROMSON, M.D.",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-523-4100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "028184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004174067",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas N. Fromson, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.