U.S. Coast Guard

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

U.S. COAST GUARD

Practice address

15 Mohegan Ave
New London, CT 06320-8100

Phone

(860) 444-8402

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Schon Russell

Title

Chief

Phone

(860) 701-6736

Specialties & licenses 1

Addresses

Other names 1

• u.s. coast guard academy clinic Other name

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1760673032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MOHEGAN AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063208100",
            "telephone_number": "860-444-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOHEGAN AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063208100",
            "telephone_number": "860-444-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. COAST GUARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "SCHON",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "860-701-6736",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "u.s. coast guard academy clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tuning Belle Mental Health Services
• Arianna Elizabeth Turello, AGACNP-BC
• Jean Duross Turner, MD
• Rebecca Tydeman
• U. S. Coast Guard Academy
• Krystin Uguccioni, MS,APRN,WCN
• United States Coast Guard
• John S Urbanetti, MD
• Urologic Associates, PC
• US Coast Guard Finance Center (New London Uscg Phcy)

• Military/U.S. Coast Guard Outpatient Clinic/Center in New London, CT
• Providers in New London, CT by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.