Fairfield Family Physicians,LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

039202 Issued in CT

Legal business name

FAIRFIELD FAMILY PHYSICIANS,LLC

Practice address

2184 Main St
Stratford, CT 06615-5937

Phone

(203) 378-9002

Fax

(203) 375-0336

NPI assigned

Jun 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lee Jon Forest, D.O.

Title

Medical Director

Phone

(203) 378-9002

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIIIBA

Practitioners 1

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

• Laura N Burr, APRN

  • Family Nurse Practitioner
  • Stratford, CT
  • NPI 1053323998
  NPD (past)

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1497915359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155937",
            "telephone_number": "203-378-9002",
            "fax_number": "203-375-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2184 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155937",
            "telephone_number": "203-378-9002",
            "fax_number": "203-375-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD FAMILY PHYSICIANS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "FOREST",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-378-9002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "039202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Surgery Associates Optical, LLC
• Carly Margaret Fabbri
• Fairfield County Mental Wellness Counseling, LLC
• Fairfield County Surgical Associates PC
• Fairfield County Women'S Health Associates, P.C.
• Fairfield Medical Management Group
• Faithfully Growing LLC
• Amy B. Falco, PT
• Family Care Visiting Nurse & Home Health Care Agency, LLC
• Family Care Visiting Nurse & Home Health Care Agency, LLC

• Primary Care Clinic/Center in Stratford, CT
• Providers in Stratford, CT by specialty
• Primary Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.