NPIMap

Organization Active NPI

Norwich OB/GYN Group PC

  • Specialist
  • Norwich, CT
National Provider Identifier
1811955842
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORWICH OB/GYN GROUP PC
Practice address
164B Otrobando Ave
Norwich, CT 06360-2116
Phone
(860) 889-1339
Fax
(860) 887-4048
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Harold J Bodin, MDNPI 1215907647
Title
Senior Partner
Phone
(860) 889-1339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

164B Otrobando Ave
Norwich, CT 06360-2116

Mailing address

164B Otrobando Ave
Norwich, CT 06360-2116
Phone (860) 889-1339

National Provider Directory

National Provider Directory

Locations

164B Otrobando Ave
Norwich, CT 06360
Phone (860) 889-1339

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1811955842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164B OTROBANDO AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602116",
            "telephone_number": "860-889-1339",
            "fax_number": "860-887-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164B OTROBANDO AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602116",
            "telephone_number": "860-889-1339",
            "fax_number": "860-887-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWICH OB/GYN GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "BODIN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "860-889-1339",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.