Glastonbury Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

039974 Issued in CT

Legal business name

GLASTONBURY FAMILY MEDICINE LLC

Practice address

131 New London Tpke
Suite 322
Glastonbury, CT 06033-2246

Phone

(860) 633-5115

Fax

(860) 633-5125

NPI assigned

Nov 18, 2007

Last updated

Aug 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Camtu Karrenbauer, D.O.NPI 1760409320

Title

Physician/Owner

Phone

(860) 633-5115

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Camtu Nguyen Karrenbauer

  • Family Medicine Physician
  • Chapel Hill, NC
  • NPI 1760409320
  NPD (past) Authorized official
• Sarah A Diramio, APRN

  • Family Nurse Practitioner
  • Manchester, CT
  • NPI 1013147305
  NPD (past)

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

{
    "created_epoch": "1195344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1740461730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 NEW LONDON TPKE",
            "address_2": "SUITE 322",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332246",
            "telephone_number": "860-633-5115",
            "fax_number": "860-633-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NEW LONDON TPKE",
            "address_2": "SUITE 322",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332246",
            "telephone_number": "860-633-5115",
            "fax_number": "860-633-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASTONBURY FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-18",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "KARRENBAUER",
        "authorized_official_first_name": "CAMTU",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "860-633-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "039974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.