NPIMap

Organization Active NPI

Southbury Medical Associates, LLP

  • Internal Medicine Physician
  • Southbury, CT
National Provider Identifier
1407984222
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTHBURY MEDICAL ASSOCIATES, LLP
Practice address
22 Old Waterbury Rd
Suite 201
Southbury, CT 06488-3848
Phone
(203) 264-6503
Fax
(203) 262-1430
NPI assigned
Mar 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Fitzhugh C Pannill III, M.D.NPI 1265488738
Title
Financial Partner
Phone
(203) 264-6503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

22 Old Waterbury Rd
Suite 201
Southbury, CT 06488-3848

Mailing address

22 Old Waterbury Road
Suite 201
Southbury, CT 06488
Phone (203) 264-6503

National Provider Directory

National Provider Directory

Locations

401 Federal Rd
Brookfield, CT 06804
Phone (203) 775-6365

28 East Ave
New Canaan, CT 06840
Phone (203) 594-9980

130 State Route 37
New Fairfield, CT 06812
Phone (203) 746-6000

520 West Ave
Norwalk, CT 06850
Phone (203) 852-2417

22 Old Waterbury Rd
Ste 108
Southbury, CT 06488
Phone (203) 262-4200

Practitioners & affiliated clinicians

Practitioners 59

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.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407984222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD WATERBURY ROAD",
            "address_2": "SUITE 201",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "06488",
            "telephone_number": "203-264-6503",
            "fax_number": "203-262-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD WATERBURY RD",
            "address_2": "SUITE 201",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883848",
            "telephone_number": "203-264-6503",
            "fax_number": "203-262-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBURY MEDICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANNILL",
        "authorized_official_first_name": "FITZHUGH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FINANCIAL PARTNER",
        "authorized_official_telephone_number": "203-264-6503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.