Family Practice of Litchfield County, L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

039116 Issued in CT

Legal business name

FAMILY PRACTICE OF LITCHFIELD COUNTY, L.L.C.

Practice address

52 Peck Rd
Ste E
Torrington, CT 06790-6107

Phone

(860) 482-6513

Fax

(860) 489-7250

NPI assigned

Oct 1, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth B. Galan, M.D.NPI 1972545689

Title

Sole Member

Phone

(860) 482-6513

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22673/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth B Galan, M.D.

  • Family Medicine Physician
  • Torrington, CT
  • NPI 1972545689
  Medicare reassignment NPD Authorized official
• Robert T Crovo, D.P.M.

  • Podiatrist
  • Torrington, CT
  • NPI 1669662110
  NPD (past)

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1386737625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 PECK RD",
            "address_2": "STE E",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906107",
            "telephone_number": "860-482-6513",
            "fax_number": "860-489-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 PECK RD",
            "address_2": "STE E",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906107",
            "telephone_number": "860-482-6513",
            "fax_number": "860-489-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE OF LITCHFIELD COUNTY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GALAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "860-482-6513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "039116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001391169",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTR. SUBST. REG.",
            "identifier": "30683",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENS NUMBER",
            "identifier": "039116",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey R Evans, LO
• Peter Evola, P.A.
• Mareesa Fabiaschi, MSN, APRN, FNP-C
• Brooke Fairbanks, LCSW
• Family First Community Support Services LLC
• Allyson Denise Faucher
• Eric Anton Federer, APRN
• Jorge Mark Fernandez-Baujin, D.M.D.
• Timothy W Ferrarotti, PA
• Cheyenne Lynne Ferris

• Family Medicine Physician in Torrington, CT
• Providers in Torrington, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.