The Children'S Medical Group of Greenwich, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

022046 Issued in CT

Legal business name

THE CHILDREN'S MEDICAL GROUP OF GREENWICH, PC

Practice address

42 Sherwood Place
The Children'S Medical Group
Greenwich, CT 06830-5638

Phone

(203) 661-2440

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

David A Hedrick, M.D.

Title

President

Phone

(203) 661-2440

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285709063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SHERWOOD PLACE",
            "address_2": "THE CHILDREN'S MEDICAL GROUP",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068301622",
            "telephone_number": "203-661-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 SHERWOOD PLACE",
            "address_2": "THE CHILDREN'S MEDICAL GROUP",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305638",
            "telephone_number": "203-661-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S MEDICAL GROUP OF GREENWICH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-661-2440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "022046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Telesz
• Helen M Temple, M.S.
• John Tenbusch, LCSW
• Thai Serenity Spa LLC
• The Behavior Therapy Group, LLC
• The Greenwich Medical Group
• The Greenwich Practice
• The Metabolic Dietitian PLLC
• The Plastic and Reconstructive Surgery Group, PC
• The Westchester Medical Group PC

• Pediatrics Physician in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Pediatrics Physician in Connecticut

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.