Organization Active NPI

Women'S Medical Group, P.C.

  • Specialist
  • Bridgeport, CT
National Provider Identifier
1639280928
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20077 Issued in CT
Legal business name
WOMEN'S MEDICAL GROUP, P.C.
Practice address
4749 Main St
Bridgeport, CT 06606-1805
Phone
(203) 374-4433
Fax
(203) 374-5033
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Mr. Murray Ross Master, M.D.
Title
President
Phone
(203) 374-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 20077 CT Primary

Addresses

Primary practice location

4749 Main St
Bridgeport, CT 06606-1805

Mailing address

4749 Main St
Bridgeport, CT 06606-1805
Phone (203) 374-4433

Other identifiers 1

IdentifierTypeStateIssuer
001200773MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1639280928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061805",
            "telephone_number": "203-374-4433",
            "fax_number": "203-374-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061805",
            "telephone_number": "203-374-4433",
            "fax_number": "203-374-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "MASTER",
        "authorized_official_first_name": "MURRAY",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-374-4433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "20077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001200773",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.