Active NPI
Total Medical Care Inc
- Internal Medicine Physician
- Windsor, CT
National Provider Identifier
1255502407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- TOTAL MEDICAL CARE INC
- Practice address
- 340 Broad St
Windsor, CT 06095-3030 - Phone
- (860) 688-8888
- Fax
- (860) 688-6381
- NPI assigned
- Mar 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Scott Davies, M.D.
- Title
- Director
- Phone
- (860) 688-8888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
340 Broad St
Windsor, CT 06095-3030
Mailing address
340 Broad St
Windsor, CT 06095-3030
Phone (860) 688-8888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010029861CT | Other | CT | ANTHEM BCBS |
| 001298612 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
340 Broad St
Windsor, CT 06095
Phone (860) 483-8836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328832000000",
"number": "1255502407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 BROAD ST",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060953030",
"telephone_number": "860-688-8888",
"fax_number": "860-688-6381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 BROAD ST",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060953030",
"telephone_number": "860-688-8888",
"fax_number": "860-688-6381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL MEDICAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-17",
"last_updated": "2012-02-10",
"status": "A",
"authorized_official_last_name": "DAVIES",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "860-688-8888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "010029861CT",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001298612",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.