NPIMap

Organization Active NPI

Shoreline Internal Medicine, LLC

  • Internal Medicine Physician
  • Guilford, CT
National Provider Identifier
1306042510
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29519,31038,17718 Issued in CT
Legal business name
SHORELINE INTERNAL MEDICINE, LLC
Practice address
5 Durham Rd
BLDG 3, C-1
Guilford, CT 06437-2076
Phone
(203) 453-4444
Fax
(203) 458-9477
NPI assigned
Jun 25, 2007
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Mary Jane Scheimann, M.D.NPI 1205834447
Title
Managing Partner
Phone
(203) 453-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 033519 CT
Internal Medicine Physician 207R00000X 29519,31038,17718 CT Primary

Addresses

Primary practice location

5 Durham Rd
BLDG 3, C-1
Guilford, CT 06437-2076

Mailing address

5 Durham Rd
BLDG 3, C-1
Guilford, CT 06437-2076
Phone (203) 453-4444

National Provider Directory

National Provider Directory

Locations

5 Durham Rd
Ste C1
Guilford, CT 06437
Phone (203) 453-4444

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1306042510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DURHAM RD",
            "address_2": "BLDG 3, C-1",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372076",
            "telephone_number": "203-453-4444",
            "fax_number": "203-458-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DURHAM RD",
            "address_2": "BLDG 3, C-1",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372076",
            "telephone_number": "203-453-4444",
            "fax_number": "203-458-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "SCHEIMANN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "203-453-4444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "033519",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "29519,31038,17718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.