NPIMap

Organization Active NPI

Immediate Health Care, LLC

  • Family Medicine Physician
  • Norwalk, CT
National Provider Identifier
1487735924
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
021922 Issued in CT
Legal business name
IMMEDIATE HEALTH CARE, LLC
Practice address
235 Main Avenue
Norwalk, CT 06851
Phone
(203) 847-2600
Fax
(203) 849-3081
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Mrs. Giannina Maria Mesa
Title
Manager
Phone
(203) 847-2600

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 001286 CT
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 021922 CT
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 021922 CT Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 015532 CT

Addresses

Primary practice location

235 Main Avenue
Norwalk, CT 06851

Mailing address

235 Main Avenue
Norwalk, CT 06851
Phone (203) 847-2600

Other identifiers 5

IdentifierTypeStateIssuer
2V5977OtherHEALTHNET
68WLKN026CTOtherCTANTHEM BCBS
7242622OtherAETNA
789859OtherCONNECTICARE
CO3240OtherMEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1487735924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MAIN AVENUE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-847-2600",
            "fax_number": "203-849-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAIN AVENUE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-847-2600",
            "fax_number": "203-849-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "GIANNINA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-847-2600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001286",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "021922",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "021922",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "015532",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V5977",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "68WLKN026CT",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7242622",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "789859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CO3240",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.