NPIMap

Organization Active NPI

Hebron Family Physicians LLC

  • Family Medicine Physician
  • Hebron, CT
National Provider Identifier
1750444634
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
038237 Issued in CT
Legal business name
HEBRON FAMILY PHYSICIANS LLC
Practice address
23 A Liberty Drive
Hebron, CT 06248
Phone
(860) 228-1119
Fax
(860) 228-4314
NPI assigned
Dec 19, 2006
Last updated
Mar 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. Kristin Stanley Gildersleeve, MDNPI 1902846082
Title
MD
Phone
(860) 228-1119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 038237 CT Primary

Addresses

Primary practice location

23 A Liberty Drive
Hebron, CT 06248

Mailing address

PO Box 636
Hebron, CT 06248
Phone (860) 228-1119

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1750444634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "06248",
            "telephone_number": "860-228-1119",
            "fax_number": "860-228-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 A LIBERTY DRIVE",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "06248",
            "telephone_number": "860-228-1119",
            "fax_number": "860-228-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBRON FAMILY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "GILDERSLEEVE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "860-228-1119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "038237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.