Individual provider Active NPI

Katherine Frances McGowan Hesse, MD

  • Emergency Medicine Physician
  • New London, CT
National Provider Identifier
1548235088
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
041414 Issued in CT
Practice address
365 Montauk Ave
New London, CT 06320-4700
Phone
(860) 442-0711
Fax
(860) 444-4752
NPI assigned
Feb 20, 2006
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 041414 CT Primary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 041414 CT
Pediatrics Physician 208000000X 041414 CT
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 041414 CT

Addresses

Primary practice location

365 Montauk Ave
New London, CT 06320-4700

Mailing address

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711

Other identifiers 1

IdentifierTypeStateIssuer
001414143MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071221000002 CT Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 0143310557 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
041414CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence and Memorial Hospital, Inc. Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Lawrence and Memorial Hospital, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Usacs of Connecticut, LLC Emergency Medicine CurrentSince Feb 1, 2012 Accepting new patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince May 10, 2010 Accepting new patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince May 10, 2010 Accepting new patients
Children's Hospital & Regional Medical Center 2 Past Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000

Interoperability endpoints

  • Direct secure messaging: khesse42521@direct.ynhh.org

Organizations & group practices 8

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1548235088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-442-0711",
            "fax_number": "860-444-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-442-0711",
            "fax_number": "860-444-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSE",
        "first_name": "KATHERINE",
        "middle_name": "FRANCES MCGOWAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "041414",
            "primary": true
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "CT",
            "license": "041414",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "041414",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "CT",
            "license": "041414",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001414143",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.