Organization Active NPI

Windsor Medical Associates LLC

  • Internal Medicine Physician
  • Windsor, CT
National Provider Identifier
1447222559
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WINDSOR MEDICAL ASSOCIATES LLC
Practice address
74 Mack St
Windsor, CT 06095-2759
Phone
(860) 298-8830
Fax
(860) 298-9929
NPI assigned
Feb 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Ian D Kleinhen, M.D.
Title
President
Phone
(860) 298-8830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

74 Mack St
Windsor, CT 06095-2759

Mailing address

74 Mack St
Windsor, CT 06095-2759
Phone (860) 298-8830

National Provider Directory

National Provider Directory

Locations

74 Mack St
Windsor, CT 06095
Phone (860) 242-0734

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1447222559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MACK ST",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952759",
            "telephone_number": "860-298-8830",
            "fax_number": "860-298-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MACK ST",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952759",
            "telephone_number": "860-298-8830",
            "fax_number": "860-298-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "KLEINHEN",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-298-8830",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.