Organization Active NPI

Family Health Urgent Care

  • Family Medicine Physician
  • Norwalk, CT
National Provider Identifier
1386980191
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
040028 Issued in CT
Legal business name
FAMILY HEALTH URGENT CARE
Practice address
235 Main Avenue
Norwalk, CT 06851-9993
Phone
(203) 847-2600
Fax
(203) 547-6118
NPI assigned
Dec 26, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ramil Mansourov, M.D
Title
Medical Director
Phone
(203) 847-2600

Practitioners 1

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 040028 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

235 Main Avenue
Norwalk, CT 06851-9993

Mailing address

235 Main St
Norwalk, CT 06851-2720
Phone (203) 847-2600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 18, 2016.

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1386980191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MAIN ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068512720",
            "telephone_number": "203-847-2600",
            "fax_number": "203-849-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAIN AVENUE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068519993",
            "telephone_number": "203-847-2600",
            "fax_number": "203-547-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "MANSOUROV",
        "authorized_official_first_name": "RAMIL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-847-2600",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "040028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.