Organization Active NPI

High Ridge Int & Womens Medicine

  • Internal Medicine Physician
  • Norwalk, CT
National Provider Identifier
1568510865
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
038339 Issued in CT
Legal business name
HIGH RIDGE INT & WOMENS MEDICINE
Practice address
153 East Ave
Ste 35
Norwalk, CT 06851-5711
Phone
(203) 604-1670
Fax
(203) 604-1673
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elizabeth Goman, MDNPI 1114952744
Title
President
Phone
(203) 604-1670

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 038339 CT Primary

Addresses

Primary practice location

153 East Ave
Ste 35
Norwalk, CT 06851-5711

Mailing address

153 East Ave
Ste 35
Norwalk, CT 06851-5711
Phone (203) 604-1670

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568510865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 EAST AVE",
            "address_2": "STE 35",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515711",
            "telephone_number": "203-604-1670",
            "fax_number": "203-604-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 EAST AVE",
            "address_2": "STE 35",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515711",
            "telephone_number": "203-604-1670",
            "fax_number": "203-604-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH RIDGE INT & WOMENS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-604-1670",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "038339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.