Individual provider Active NPI

Theresa Tartarone, MD

  • Internal Medicine Physician
  • Southbury, CT
National Provider Identifier
1518259175
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
031777 Issued in CT
Practice address
900 Main St S
Building 2, Suite 100
Southbury, CT 06488-4237
Phone
(203) 262-1911
Fax
(203) 262-9434
NPI assigned
May 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 031777 CT Primary

Addresses

Primary practice location

900 Main St S
Building 2, Suite 100
Southbury, CT 06488-4237

Mailing address

900 Main St S
Building 2, Suite 100
Southbury, CT 06488-4237
Phone (203) 262-1911

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
031777CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WRK Ventures, LLC PastSince Mar 3, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1518259175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST S",
            "address_2": "BUILDING 2, SUITE 100",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884237",
            "telephone_number": "203-262-1911",
            "fax_number": "203-262-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST S",
            "address_2": "BUILDING 2, SUITE 100",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884237",
            "telephone_number": "203-262-1911",
            "fax_number": "203-262-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTARONE",
        "first_name": "THERESA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "031777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.