Active NPI
Steven L Powell, MD
- Pulmonary Disease Physician
- Norwich, CT
National Provider Identifier
1356338560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 029502
- Practice address
- 330 Washington St
Ste 430
Norwich, CT 06360-2700 - Phone
- (860) 886-1862
- Fax
- (860) 886-2046
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 029502 | CT | Primary |
Addresses
Primary practice location
330 Washington St
Ste 430
Norwich, CT 06360-2700
Mailing address
330 Washington St
Ste 430
Norwich, CT 06360-2700
Phone (860) 886-1862
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CT029502 | Other | UNITED HEALTHCARE | |
| 0464894 | Other | CIGNA HEALTHCARE | |
| 202374 | Medicaid | NH | |
| 29925 | Other | OXFORD HEALTH PLAN | |
| 0000172 | Medicaid | RI | |
| 030970 | Other | HEALTH NET | |
| 132830 | Other | PREFERRED ONE HEALTHCARE | |
| 010029502CT03 | Other | CT | BLUE SHIELD |
| 329502 | Other | CONNECTICARE | |
| NLP046 | Other | OXFORD HEALTH PLAN | |
| 3341765 | Other | AETNA US HEALTHCARE MASTE | |
| 001295022 | Medicaid | CT | |
| 29151 | Other | CONNECTICARE | |
| 85911 | Medicaid | NY | |
| 01809681 | Medicaid | NY | |
| 212874 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029502 | CT | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1356338560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 WASHINGTON ST",
"address_2": "STE 430",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602700",
"telephone_number": "860-886-1862",
"fax_number": "860-886-2046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 WASHINGTON ST",
"address_2": "STE 430",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602700",
"telephone_number": "860-886-1862",
"fax_number": "860-886-2046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "STEVEN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CT",
"license": "029502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "CT029502",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "0464894",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202374",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "29925",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000172",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "030970",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE HEALTHCARE",
"identifier": "132830",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "010029502CT03",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "329502",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "NLP046",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE MASTE",
"identifier": "3341765",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001295022",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "29151",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85911",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01809681",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212874",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.