NPIMap

Organization Active NPI

University of Connecticut School of Medicine

  • Family Medicine Physician
  • Farmington, CT
National Provider Identifier
1588977797
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
047478 Issued in CT
Legal business name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Practice address
263 Farmington Ave
Farmington, CT 06030-5215
Phone
(860) 679-3958
Fax
(860) 679-1307
NPI assigned
Jul 16, 2010
Last updated
Jul 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Ms. Anne Schick, MBA
Title
Director of Graduate Medical Educat
Phone
(860) 679-2147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 047478 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030-5215

Mailing address

357 Brittany Farms Rd Apt H322
New Britain, CT 06053-1102
Phone (860) 679-8694

Other identifiers 2

IdentifierTypeStateIssuer
150722OtherCTABFM
047478OtherCTLISENSURE

National Provider Directory

National Provider Directory
Tax ID family
School of Medicine28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1588977797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 BRITTANY FARMS RD APT H322",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060531102",
            "telephone_number": "860-679-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060305215",
            "telephone_number": "860-679-3958",
            "fax_number": "860-679-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "SCHICK",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR OF GRADUATE MEDICAL EDUCAT",
        "authorized_official_telephone_number": "860-679-2147",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "047478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABFM",
            "identifier": "150722",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISENSURE",
            "identifier": "047478",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.