Organization Active NPI

The Hope Clinic, LLC

  • Durable Medical Equipment & Medical Supplies
  • Bristol, CT
National Provider Identifier
1235214826
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE HOPE CLINIC, LLC
Practice address
10 N Main St
Suite 210
Bristol, CT 06010-8102
Phone
(860) 589-4673
Fax
(860) 589-6124
NPI assigned
Oct 25, 2006
Organization subpart
Yes
Parent organization
THE HOPE CLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Dr. Virginia M Tjan-Wettstein, M.D.
Title
Physician / Owner
Phone
(860) 589-4673

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

10 N Main St
Suite 210
Bristol, CT 06010-8102

Mailing address

10 N Main St
Suite 210
Bristol, CT 06010-8102
Phone (860) 589-4673

National Provider Directory

National Provider Directory
Part of
Virginai M Tjan-Wettste

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1235214826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N MAIN ST",
            "address_2": "SUITE 210",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060108102",
            "telephone_number": "860-589-4673",
            "fax_number": "860-589-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N MAIN ST",
            "address_2": "SUITE 210",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060108102",
            "telephone_number": "860-589-4673",
            "fax_number": "860-589-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOPE CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HOPE CLINIC, LLC",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "TJAN-WETTSTEIN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "860-589-4673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.