Organization Active NPI

Ear,Nose & Throat of Greater Hartford, P.C.

  • Otolaryngology Physician
  • Bloomfield, CT
National Provider Identifier
1508065657
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
EAR,NOSE & THROAT OF GREATER HARTFORD, P.C.
Practice address
4 Northwestern Dr
Suite 300
Bloomfield, CT 06002-3444
Phone
(860) 243-8997
Fax
(860) 769-6803
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Ronald J Saxon, MD
Title
President
Phone
(860) 243-8997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

4 Northwestern Dr
Suite 300
Bloomfield, CT 06002-3444

Mailing address

4 Northwestern Dr
Suite 300
Bloomfield, CT 06002-3444
Phone (860) 243-8997

Other identifiers 1

IdentifierTypeStateIssuer
004394772MedicaidCT

National Provider Directory

National Provider Directory

Locations

4 Northwestern Dr
Ste 300
Bloomfield, CT 06002
Phone (860) 243-8997

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1508065657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NORTHWESTERN DR",
            "address_2": "SUITE 300",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023444",
            "telephone_number": "860-243-8997",
            "fax_number": "860-769-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NORTHWESTERN DR",
            "address_2": "SUITE 300",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023444",
            "telephone_number": "860-243-8997",
            "fax_number": "860-769-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR,NOSE & THROAT OF GREATER HARTFORD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "SAXON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-243-8997",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004394772",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.