NPIMap

Organization Active NPI

Connecticut Skinhealth LLP

  • Specialist
  • Shelton, CT
National Provider Identifier
1649606385
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
040226 Issued in CT
Legal business name
CONNECTICUT SKINHEALTH LLP
Practice address
4 Corporate Dr
Suite 386
Shelton, CT 06484-6211
Phone
(203) 538-5685
NPI assigned
Sep 25, 2013
Last updated
Sep 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Dr. Loyd S. Godwin, MDNPI 1952378127
Title
President
Phone
(917) 693-9851

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
Specialist 174400000X 040226 CT Primary

Addresses

Primary practice location

4 Corporate Dr
Suite 386
Shelton, CT 06484-6211

Mailing address

4 Corporate Dr
Suite 386
Shelton, CT 06484-6211
Phone (203) 538-5685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140225001960 CT Part B Supplier - Clinic/Group Practice 9638309362 Receives reassigned benefits from 49 practitioners
Practice locations: Stamford, CT; Woodbridge, CT; Shelton, CT; Norwalk, CT; New London, CT; Hamden, CT; Fairfield, CT; Branford, CT…

National Provider Directory

National Provider Directory

Locations

140 Sherman St
Fl 3
Fairfield, CT 06824
Phone (203) 538-5682

2416 Whitney Ave
Ste 5
Hamden, CT 06518
Phone (203) 288-1142

6 Shaws Cv
Ste 204
New London, CT 06320
Phone (203) 538-5682

148 East Ave
Ste 100
Norwalk, CT 06851

220 Main St
Ste 3A
Oxford, CT 06478
Phone (203) 896-5727

222 Main St 3a
Oxford, CT 06478

132 Morgan St
Stamford, CT 06905
Phone (203) 969-0123

1 Bradley Rd
Ste 705
Woodbridge, CT 06525
Phone (203) 284-2818

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1649606385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CORPORATE DR",
            "address_2": "SUITE 386",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846211",
            "telephone_number": "203-538-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CORPORATE DR",
            "address_2": "SUITE 386",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846211",
            "telephone_number": "203-538-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT SKINHEALTH LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "LOYD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-693-9851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "040226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.