Active NPI
QMG3 LLC
- Family Medicine Physician
- Shelton, CT
National Provider Identifier
1376092007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- QMG3 LLC
- Practice address
- 405 Bridgeport Avenue
Shelton, CT 06484 - Phone
- (203) 567-4171
- Fax
- (203) 567-4172
- NPI assigned
- Sep 22, 2016
- 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
- Steven Martin Heffer, M.D.
- Title
- Owner/Medical Director
- Phone
- (203) 583-8400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CT | Primary |
Addresses
Primary practice location
405 Bridgeport Avenue
Shelton, CT 06484
Mailing address
405 Bridgeport Avenue
Shelton, CT 06484
Phone (203) 567-4171
Other names 1
- AFC Urgent Care
National Provider Directory
National Provider DirectoryLocations
405 Bridgeport Ave
Shelton, CT 06484
Phone (203) 567-4171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474502400000",
"number": "1376092007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 BRIDGEPORT AVENUE",
"city": "SHELTON",
"state": "CT",
"postal_code": "06484",
"telephone_number": "203-567-4171",
"fax_number": "203-567-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 BRIDGEPORT AVENUE",
"city": "SHELTON",
"state": "CT",
"postal_code": "06484",
"telephone_number": "203-567-4171",
"fax_number": "203-567-4172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QMG3 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-22",
"last_updated": "2016-09-22",
"status": "A",
"authorized_official_last_name": "HEFFER",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "203-583-8400",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AFC Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.