NPIMap

Organization Active NPI

Charter Oak Walk in Medical Center, PC

  • Family Medicine Physician
  • East Lyme, CT
National Provider Identifier
1750459483
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHARTER OAK WALK IN MEDICAL CENTER, PC
Practice address
324 Flanders Rd
East Lyme, CT 06333-1735
Phone
(860) 739-6953
Fax
(860) 739-2523
NPI assigned
Dec 1, 2006
Last updated
Jul 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Richard C Albrecht, MDNPI 1568445435
Title
President
Phone
(860) 739-6953

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 Primary

Addresses

Primary practice location

324 Flanders Rd
East Lyme, CT 06333-1735

Mailing address

324 Flanders Rd
East Lyme, CT 06333-1735
Phone (860) 739-6953

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1750459483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 FLANDERS RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331735",
            "telephone_number": "860-739-6953",
            "fax_number": "860-739-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 FLANDERS RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331735",
            "telephone_number": "860-739-6953",
            "fax_number": "860-739-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER OAK WALK IN MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "ALBRECHT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-739-6953",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lyme, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.