NPIMap

Organization Active NPI

Swensen Riverside Medical Center, LLC

  • Family Medicine Physician
  • Winsted, CT
National Provider Identifier
1245289396
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
043014 Issued in CT
Legal business name
SWENSEN RIVERSIDE MEDICAL CENTER, LLC
Practice address
115 Spencer St
Winsted, CT 06098-1140
Phone
(860) 379-1350
NPI assigned
May 8, 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
Dr. Diane Swensen Miller, M.D.
Title
Owner
Phone
(860) 379-1350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 043014 CT Primary

Addresses

Primary practice location

115 Spencer St
Winsted, CT 06098-1140

Mailing address

115 Spencer St
Winsted, CT 06098-1140
Phone (860) 379-1350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245289396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SPENCER ST",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981140",
            "telephone_number": "860-379-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SPENCER ST",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981140",
            "telephone_number": "860-379-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWENSEN RIVERSIDE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "SWENSEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-379-1350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "043014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winsted, 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.