Organization Active NPI

William R. Maron MD PC

  • Ophthalmology Physician
  • Hartford, CT
National Provider Identifier
1508085101
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
018676 Issued in CT
Legal business name
WILLIAM R. MARON MD PC
Practice address
21 Woodland St
Suite 222
Hartford, CT 06105-4318
Phone
(860) 522-5215
Fax
(860) 247-3347
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
William R Maron, MDNPI 1942646898
Title
Ceo
Phone
(860) 522-5215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 018676 CT Primary

Addresses

Primary practice location

21 Woodland St
Suite 222
Hartford, CT 06105-4318

Mailing address

21 Woodland St
Suite 222
Hartford, CT 06105-4318
Phone (860) 522-5215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051208000025 CT Part B Supplier - Clinic/Group Practice 1355362237 Receives reassigned benefits from 1 practitioner
Practice locations: Hartford, CT

National Provider Directory

National Provider Directory

Locations

21 Woodland St
Hartford, CT 06105
Phone (860) 527-3435

21 Woodland St
Ste 222
Hartford, CT 06105
Phone (860) 522-5215

Practitioners & affiliated clinicians

Practitioners 3

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1508085101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WOODLAND ST",
            "address_2": "SUITE 222",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054318",
            "telephone_number": "860-522-5215",
            "fax_number": "860-247-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WOODLAND ST",
            "address_2": "SUITE 222",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054318",
            "telephone_number": "860-522-5215",
            "fax_number": "860-247-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. MARON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "MARON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-522-5215",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "018676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.