Arleen Rita Sergis, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

216079 Issued in NY

Practice address

1776 Boston Tpke
Coventry, CT 06238-1160

Phone

(860) 742-7315

Fax

(860) 742-7367

NPI assigned

Nov 24, 2006

Last updated

Dec 9, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Hartford Physician Services PC

  dba Hartford Medical Group

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1164404117

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1467527374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 BOSTON TPKE",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062381160",
            "telephone_number": "860-742-7315",
            "fax_number": "860-742-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 BOSTON TPKE",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062381160",
            "telephone_number": "860-742-7315",
            "fax_number": "860-742-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERGIS",
        "first_name": "ARLEEN",
        "middle_name": "RITA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "216079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467527374",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Sauline, LPC
• Susan Scales
• Stephanie Schleicher, LPC
• Elena Schreiber, LMFT
• Olga Selikhov, APRN
• Shante Powers Gaskins LCSW LLC
• Stacie Beth Simko, PT
• Annika Simmons
• Linda L Starr
• The Connection Inc

• Family Medicine Physician in Coventry, CT
• Providers in Coventry, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.