Organization Active NPI

Scott a Vander Vennet MD LLC

  • Obstetrics & Gynecology Physician
  • Ansonia, CT
National Provider Identifier
1801099650
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
037036 Issued in CT
Legal business name
SCOTT A VANDER VENNET MD LLC
Practice address
320 Main St
Ansonia, CT 06401-2303
Phone
(203) 736-2229
Fax
(203) 732-2405
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott Vandervennet, MD
Title
Owner
Phone
(203) 736-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 037036 CT Primary

Addresses

Primary practice location

320 Main St
Ansonia, CT 06401-2303

Mailing address

320 Main St
Ansonia, CT 06401-2303
Phone (203) 736-2229

National Provider Directory

National Provider Directory

Locations

320 Main St
Ansonia, CT 06401
Phone (203) 736-2229

2 Ivy Brook Rd
Ste 125
Shelton, CT 06484
Phone (203) 954-0080

Practitioners & affiliated clinicians

Practitioners 3

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": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801099650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064012303",
            "telephone_number": "203-736-2229",
            "fax_number": "203-732-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064012303",
            "telephone_number": "203-736-2229",
            "fax_number": "203-732-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A VANDER VENNET MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANDERVENNET",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-736-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "037036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

  • 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.