NPIMap

Organization Active NPI

Southington Urgent Care

  • Internal Medicine Physician
  • Southington, CT
National Provider Identifier
1205959301
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036278 Issued in CT
Legal business name
SOUTHINGTON URGENT CARE
Practice address
1131 West St Ste 1
Southington, CT 06489-6006
Phone
(860) 621-7682
Fax
(860) 621-7679
NPI assigned
Apr 6, 2007
Last updated
Oct 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Authorized official

Name
Kevin P Greene, MDNPI 1164498473
Title
President
Phone
(860) 378-2891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036278 CT Primary

Addresses

Primary practice location

1131 West St Ste 1
Southington, CT 06489-6006

Mailing address

710 Main St BLDG 4
Plantsville, CT 06479-1567
Phone (860) 378-2811

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1205959301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MAIN ST BLDG 4",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791567",
            "telephone_number": "860-378-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 WEST ST STE 1",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064896006",
            "telephone_number": "860-621-7682",
            "fax_number": "860-621-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHINGTON URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-378-2891",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "036278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.