Active NPI
Thomas B Binder, MD
- Pediatrics Physician
- Avon, CT
National Provider Identifier
1386736635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 039276
- Practice address
- 21B Arts Center Court
Avon, CT 06001-3752 - Phone
- (860) 673-9400
- Fax
- (860) 678-9480
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 039276 | CT | Primary |
Addresses
Primary practice location
21B Arts Center Court
Avon, CT 06001-3752
Mailing address
21B Arts Center Court
Avon, CT 06001-3752
Phone (860) 673-9400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 743102100 | Other | FEDERAL TAX ID# | |
| 001392761 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039276 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Area Pediatrics PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271980800000",
"number": "1386736635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21B ARTS CENTER COURT",
"city": "AVON",
"state": "CT",
"postal_code": "060013752",
"telephone_number": "860-673-9400",
"fax_number": "860-678-9480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21B ARTS CENTER COURT",
"city": "AVON",
"state": "CT",
"postal_code": "060013752",
"telephone_number": "860-673-9400",
"fax_number": "860-678-9480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINDER",
"first_name": "THOMAS",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2010-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "039276",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID#",
"identifier": "743102100",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001392761",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Avon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.