Active NPI
John A Svogun, M.D.
- Family Medicine Physician
- Norwalk, CT
National Provider Identifier
1487764445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 027594
- Practice address
- 761 Main Ave
Suite 201
Norwalk, CT 06851-1080 - Phone
- (203) 838-4000
- Fax
- (203) 845-9535
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 027594 | CT | Primary |
Addresses
Primary practice location
761 Main Ave
Suite 201
Norwalk, CT 06851-1080
Mailing address
761 Main Ave
Suite 201
Norwalk, CT 06851-1080
Phone (203) 838-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004187466 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027594 | CT | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1487764445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 MAIN AVE",
"address_2": "SUITE 201",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511080",
"telephone_number": "203-838-4000",
"fax_number": "203-845-9535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 MAIN AVE",
"address_2": "SUITE 201",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511080",
"telephone_number": "203-838-4000",
"fax_number": "203-845-9535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SVOGUN",
"first_name": "JOHN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "027594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004187466",
"state": "CT"
}
],
"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 Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.