Organization Active NPI

QMG3 LLC

  • Family Medicine Physician
  • Shelton, CT
National Provider Identifier
1376092007
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Sep 22, 2016

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.