Organization Active NPI

Woodstock Medical Group, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • S Woodstock, CT
National Provider Identifier
1295860831
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
WOODSTOCK MEDICAL GROUP, PC
Practice address
168 Rte 171
S Woodstock, CT 06267-0366
Phone
(860) 928-9270
Fax
(860) 928-3852
NPI assigned
Feb 23, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Ronald W Klare, M.D.
Title
President
Phone
(860) 928-9270

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU

Addresses

Primary practice location

168 Rte 171
S Woodstock, CT 06267-0366

Mailing address

PO Box 366
168 Rte 171
S Woodstock, CT 06267-0366
Phone (860) 928-9270

Other identifiers 1

IdentifierTypeStateIssuer
50WOODSTKCT01OtherCTANTHEM BCBS GROUP NO.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1295860831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "address_2": "168 RTE 171",
            "city": "S WOODSTOCK",
            "state": "CT",
            "postal_code": "062670366",
            "telephone_number": "860-928-9270",
            "fax_number": "860-928-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 RTE 171",
            "city": "S WOODSTOCK",
            "state": "CT",
            "postal_code": "062670366",
            "telephone_number": "860-928-9270",
            "fax_number": "860-928-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KLARE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-928-9270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS GROUP NO.",
            "identifier": "50WOODSTKCT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in S Woodstock, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.