Active NPI
Family Health Urgent Care
- Family Medicine Physician
- Norwalk, CT
National Provider Identifier
1386980191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 040028
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 040028 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary 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.