Western Connecticut Primary Care P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

041832 Issued in CT

Legal business name

WESTERN CONNECTICUT PRIMARY CARE P.C.

Practice address

105 Newtown Rd
Suite 1a
Danbury, CT 06810-4114

Phone

(203) 790-4511

Fax

(203) 790-4512

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Allen F Davis, M.D.

Title

President

Phone

(203) 790-4511

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Connor, APRN

  • Family Nurse Practitioner
  • Danbury, CT
  • NPI 1689010522
  NPD (past)
• Caroline F Kane-Civitano, PA-C

  • Physician Assistant
  • Danbury, CT
  • NPI 1952534612
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1194917427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NEWTOWN RD",
            "address_2": "SUITE 1A",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104114",
            "telephone_number": "203-790-4511",
            "fax_number": "203-790-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NEWTOWN RD",
            "address_2": "SUITE 1A",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104114",
            "telephone_number": "203-790-4511",
            "fax_number": "203-790-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CONNECTICUT PRIMARY CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-790-4511",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "041832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C03757",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG4876",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western Connecticut Health Network Affiliates, Inc.
• Western Connecticut Home Care, Inc
• Western Connecticut Home Care, Inc.
• Western Connecticut Orthopedic Surgical Center LLC
• Western Connecticut Physical Therapy
• Sydney Rose Westervelt, PHARMD
• Litton Whitaker
• Patricia E Whitcombe, M.D.
• Darlene V White, LMSW,MSW,BA
• Paul J White, DC

• Internal Medicine Physician in Danbury, CT
• Providers in Danbury, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.