Organization Active NPI

Mansfield Cardiovascular Care LLC

  • Cardiovascular Disease Physician
  • Willimantic, CT
National Provider Identifier
1225002496
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MANSFIELD CARDIOVASCULAR CARE LLC
Practice address
6 Storrs Rd
Suite 6
Willimantic, CT 06226
Phone
(860) 423-9207
Fax
(860) 423-9983
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Anthea Fiona Woodley, MDNPI 1790753184
Title
Physician Owner
Phone
(860) 423-9207

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X CT Primary

Addresses

Primary practice location

6 Storrs Rd
Suite 6
Willimantic, CT 06226

Mailing address

PO Box 440
Mansfield, CT 06250
Phone (860) 423-9207

National Provider Directory

National Provider Directory

Locations

6 Storrs Rd
Ste 6
Willimantic, CT 06226
Phone (860) 423-9207

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225002496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440",
            "city": "MANSFIELD",
            "state": "CT",
            "postal_code": "06250",
            "telephone_number": "860-423-9207",
            "fax_number": "860-423-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STORRS RD",
            "address_2": "SUITE 6",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "06226",
            "telephone_number": "860-423-9207",
            "fax_number": "860-423-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD CARDIOVASCULAR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODLEY",
        "authorized_official_first_name": "ANTHEA",
        "authorized_official_middle_name": "FIONA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "860-423-9207",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willimantic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.