Individual provider Active NPI

James W Finnerty, M.D.

  • Internal Medicine Physician
  • Bethel, CT
National Provider Identifier
1437154663
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
027330 Issued in CT
Practice address
2 Elizabeth St
Bethel, CT 06801-2100
Phone
(203) 791-2221
Fax
(203) 791-0682
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 027330 CT Primary

Addresses

Primary practice location

2 Elizabeth St
Bethel, CT 06801-2100

Mailing address

2 Elizabeth St
Bethel, CT 06801-2100
Phone (203) 791-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000889 CT Practitioner - Internal Medicine 9436189495 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
027330CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Internal Medicine CurrentSince Nov 1, 2012 Accepting new patients
Village Square Internal Medicine PC Internal Medicine CurrentSince Nov 30, 1992 Accepting new patients

Locations

2 Elizabeth St
#111
Bethel, CT 06801
Phone (203) 791-2221

2 Elizabeth St
Unit 111
Bethel, CT 06801

2 Elizabeth St
Bethel, CT 06801
Phone (203) 791-2221

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1437154663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ELIZABETH ST",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012100",
            "telephone_number": "203-791-2221",
            "fax_number": "203-791-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ELIZABETH ST",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012100",
            "telephone_number": "203-791-2221",
            "fax_number": "203-791-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNERTY",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "027330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

Verify at the official NPI Registry.