NPIMap

Organization Active NPI

Lawrence & Memorial Hospital

  • Occupational Medicine Physician
  • Groton, CT
National Provider Identifier
1376716670
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
LAWRENCE & MEMORIAL HOSPITAL
Practice address
52 Hazelnut Hill Rd
Groton, CT 06340-3268
Phone
(860) 446-8265
Fax
(860) 448-6961
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Mr. Bruce Cummings
Title
President & Ceo
Phone
(860) 442-0711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

52 Hazelnut Hill Rd
Groton, CT 06340-3268

Mailing address

52 Hazelnut Hill Rd
Groton, CT 06340-3268
Phone (860) 446-8265

National Provider Directory

National Provider Directory
Tax ID family
Anesthesia Dept7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1376716670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 HAZELNUT HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403268",
            "telephone_number": "860-446-8265",
            "fax_number": "860-448-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 HAZELNUT HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403268",
            "telephone_number": "860-446-8265",
            "fax_number": "860-448-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE & MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "860-442-0711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.