MHS Primary Care Inc.
Organization Active NPI Surgery Physician · Westbrook, CT
NPI 1356717482 · NPPES record last updated Sep 11, 2017
Key facts
- NPI
- 1356717482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- MHS PRIMARY CARE INC.
- Practice address
- 5 Pequot Park Rd
Suite 203
Westbrook, CT 06498-2856 - Phone
- (860) 358-3909
- Fax
- (203) 399-1796
- NPI assigned
- Aug 12, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- MHS PRIMARY CARE INC.
Authorized official
- Name
- Susan Martin
- Title
- Vice President Finance & Treasurer
- Phone
- (860) 358-6140
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- MHS Primary Care Inc
- Part of
- MHS Primary Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician |
207NS0135X | |||
| Surgery Physician |
208600000X | Yes | ||
| Vascular Surgery Physician |
2086S0129X | |||
| Surgical Oncology Physician |
2086X0206X | |||
| Colon & Rectal Surgery Physician |
208C00000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
5 Pequot Park Rd
Suite 203
Westbrook, CT 06498-2856
Mailing address
28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-4820
Other names
- Midlesex Hospital Surgical Alliance
Other providers in Westbrook, CT
- Christopher L. Martin
- Julie Martin
- William Mattison
- Andrea Matunas
- Kenneth James McNeil
- MHS Primary Care, Inc.
- Middlesex Hospital
- Middlesex Orthopedic Surgeons,P.C.
- Ellen Marie Morris-White
- Kelly Keefe Nelson
All providers in Westbrook, CT · Surgery Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.