Organization Active NPI

Mdservices, LLC

  • Internal Medicine Physician
  • Middlebury, CT
National Provider Identifier
1427274844
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MDSERVICES, LLC
Practice address
10 N Benson Rd
Middlebury, CT 06762-3213
Phone
(203) 758-1316
Fax
(203) 758-1976
NPI assigned
Apr 17, 2007
Last updated
Sep 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Mrs. Terri Russolillo
Title
CPC, Billing
Phone
(203) 758-1316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

10 N Benson Rd
Middlebury, CT 06762-3213

Mailing address

10 N Benson Rd
Middlebury, CT 06762-3213
Phone (203) 758-1316

National Provider Directory

National Provider Directory

Locations

10 N Benson Rd
Middlebury, CT 06762
Phone (203) 758-1316

687 Straits Tpke
Middlebury, CT 06762
Phone (203) 598-0219

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1427274844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N BENSON RD",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067623213",
            "telephone_number": "203-758-1316",
            "fax_number": "203-758-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N BENSON RD",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067623213",
            "telephone_number": "203-758-1316",
            "fax_number": "203-758-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDSERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "RUSSOLILLO",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CPC, BILLING",
        "authorized_official_telephone_number": "203-758-1316",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.