NPIMap

Organization Active NPI

Wilton Medical Walk in Clinic Inc

  • Internal Medicine Physician
  • Wilton, CT
National Provider Identifier
1760599518
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
000272 Issued in CT
Legal business name
WILTON MEDICAL WALK IN CLINIC INC
Practice address
35 Danbury Rd
Unit 5 Wilton Medical Walk-in Clinic Inc
Wilton, CT 06897
Phone
(203) 834-8885
Fax
(203) 834-8889
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Deirdre Marie Schorman, DO
Title
President Wilton Medical Walk in CL
Phone
(203) 834-8885

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 000272 CT Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 015149 CT

Addresses

Primary practice location

35 Danbury Rd
Unit 5 Wilton Medical Walk-in Clinic Inc
Wilton, CT 06897

Mailing address

35 Danbury Rd
Unit 5 Wilton Medical Walk-in Clinic Inc
Wilton, CT 06897
Phone (203) 834-8885

Other identifiers 5

IdentifierTypeStateIssuer
C02476OtherPTAN NUMBER
040000272CT01OtherBCBS
2V6049OtherHEALTH NET
010015149CT02OtherBCBS
OV4868OtherHEALTH NET

National Provider Directory

National Provider Directory

Locations

35 Danbury Rd
Ste 5
Wilton, CT 06897
Phone (203) 834-8885

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1760599518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 DANBURY RD",
            "address_2": "UNIT 5 WILTON MEDICAL WALK-IN CLINIC INC",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "06897",
            "telephone_number": "203-834-8885",
            "fax_number": "203-834-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 DANBURY RD",
            "address_2": "UNIT 5 WILTON MEDICAL WALK-IN CLINIC INC",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "06897",
            "telephone_number": "203-834-8885",
            "fax_number": "203-834-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILTON MEDICAL WALK IN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SCHORMAN",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT WILTON MEDICAL WALK IN CL",
        "authorized_official_telephone_number": "203-834-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "000272",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "015149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN NUMBER",
            "identifier": "C02476",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "040000272CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2V6049",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "010015149CT02",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "OV4868",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.