West Side Medical Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

207Q00000X Issued in CT

Legal business name

WEST SIDE MEDICAL CENTER, LLC

Practice address

606 W Main St
Norwich, CT 06360-6007

Phone

(860) 889-1400

Fax

(860) 889-3163

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William H Hernandez III, M.D.

Title

Owner

Phone

(860) 889-1400

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1760537013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W MAIN ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063606007",
            "telephone_number": "860-889-1400",
            "fax_number": "860-889-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W MAIN ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063606007",
            "telephone_number": "860-889-1400",
            "fax_number": "860-889-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-889-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "207Q00000X",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "005383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Anne Welles, PHARMD
• Wellness Counseling PLLC
• Olivia Cynthia Wells
• Amanda Welsh, LCSW
• John H Wesolek, MD
• Christopher M West, D.D.S.
• Kassandra Weston
• Marycay Whewell, LCSW
• Leonna White, APRN, FNP-C, CFCS,
• Lisa Ann White, PA-C

• Family Medicine Physician in Norwich, CT
• Providers in Norwich, 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 Dec 3, 2013; 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.