Willimautic Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WILLIMAUTIC PEDIATRICS PC

Practice address

70 Mansfield Avenue
Willimautic, CT 06226-2020

Phone

(860) 456-1132

Fax

(860) 456-2023

NPI assigned

Jan 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Damaris R Ortiz

Title

Office Manager

Phone

(860) 456-1132

Specialties & licenses 1

Addresses

Locations

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.

• Guillermo Hidalgo, MD

  • Pediatric Nephrology Physician
  • Neptune, NJ
  • NPI 1548207038

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780732289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MANSFIELD AVENUE",
            "city": "WILLIMAUTIC",
            "state": "CT",
            "postal_code": "062262020",
            "telephone_number": "860-456-1132",
            "fax_number": "860-456-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MANSFIELD AVENUE",
            "city": "WILLIMAUTIC",
            "state": "CT",
            "postal_code": "062262020",
            "telephone_number": "860-456-1132",
            "fax_number": "860-456-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIMAUTIC PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-456-1132",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.