Bethel Primary Care Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

000438 Issued in CT

Legal business name

BETHEL PRIMARY CARE CENTER LLC

Practice address

6 Stony Hill Rd
Bethel, CT 06801-1053

Phone

(203) 456-8000

Fax

(203) 917-4923

NPI assigned

Nov 2, 2016

Organization subpart

Yes

Parent organization

BETHEL PRIMARY CARE CENTER LLCAs reported in NPPES

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

Authorized official

Name

Dr. Matthew David Amara, D.O.

Title

Owner

Phone

(203) 456-8000

Specialties & licenses 1

Addresses

Part of

Bethel Primary Care Center LLC

Locations

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1376095646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STONY HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011053",
            "telephone_number": "203-456-8000",
            "fax_number": "203-917-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STONY HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011053",
            "telephone_number": "203-456-8000",
            "fax_number": "203-917-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL PRIMARY CARE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BETHEL PRIMARY CARE CENTER LLC",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "AMARA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-456-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "000438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bethel Medical Group, P. C.
• Bethel Naturopathic Medical, LLC
• Bethel Police Department
• Bethel Public Schools
• Bethel Visiting Nurse Association Inc.
• Bethel Volunteer Fire Department, Inc
• Elizabeth Bezyk, RPH
• Cristina Bierce, MSN, FNP-BC, RN, IBC

• Family Medicine Physician in Bethel, CT
• Providers in Bethel, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.