Active NPI
The Hope Clinic, LLC
- Durable Medical Equipment & Medical Supplies
- Bristol, CT
National Provider Identifier
1235214826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 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.
-
- Hematology & Oncology Physician
- Bristol, CT
- NPI 1255383907
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Montrose, CO
- NPI 1104824630
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.