Active NPI
Woodstock Medical Group, PC
- Critical Care Medicine (Internal Medicine) Physician
- S Woodstock, CT
National Provider Identifier
1295860831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- 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, 2025
- 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. Ronald W Klare, M.D.
- Title
- President
- Phone
- (860) 928-9270
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50WOODSTKCT01 | Other | CT | ANTHEM BCBS GROUP NO. |
National Provider Directory
National Provider DirectoryNPI 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.