Fairfield County Primary Care, PC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

FAIRFIELD COUNTY PRIMARY CARE, PC

Practice address

345 Main Ave
Norwalk, CT 06851-1547

Phone

(203) 849-7777

Fax

(203) 846-4477

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

John Rodis, MD

Title

Authorized Official

Phone

(203) 372-1900

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1356670731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511547",
            "telephone_number": "203-849-7777",
            "fax_number": "203-846-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511547",
            "telephone_number": "203-849-7777",
            "fax_number": "203-846-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD COUNTY PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "RODIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "203-372-1900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairfield County Bariatics and Surgical Specialists PC
• Fairfield County Coloproctology Group, LLC
• Fairfield County Foot Surgeons, PC
• Fairfield County Medical Services Inc (Norwalk Hospital Physicians and Surgeons)
• Fairfield County Plastic Surgery P.C.
• Fairfield County Speech Center, LLC
• Fairfield County Surgical Center
• Fairfield Family Homecare Inc. (Home Instead)
• Fairfield Family Integrative Medicine,LLC
• Fairfield Healthcare Sevices Inc. (BrightStar Care)

• Adult Medicine Physician in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Adult Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.