Active NPI
Healogics Specialty Physicians of Connecticut, LLC
- Internal Medicine Physician
- Manchester, CT
National Provider Identifier
1720483415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HEALOGICS SPECIALTY PHYSICIANS OF CONNECTICUT, LLC
- Practice address
- 71 Haynes St
Manchester, CT 06040-4131 - Phone
- (860) 646-1222
- NPI assigned
- Oct 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank Williams
- Title
- Ceo
- Phone
- (904) 446-3519
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
71 Haynes St
Manchester, CT 06040-4131
Mailing address
5220 Belfort Rd
Suite 130
Jacksonville, FL 32256-6017
National Provider Directory
National Provider DirectoryLocations
50 Waterbury Rd
Ste 130
Prospect, CT 06712
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Titusville, FL
- NPI 1679641708
-
- Surgery Physician
- Jacksonville, FL
- NPI 1427058130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685577600000",
"number": "1720483415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 BELFORT RD",
"address_2": "SUITE 130",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 HAYNES ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404131",
"telephone_number": "860-646-1222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALOGICS SPECIALTY PHYSICIANS OF CONNECTICUT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-24",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-446-3519"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.