Aspire Family Medicine &Wellness Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ASPIRE FAMILY MEDICINE &WELLNESS CENTER, LLC

Practice address

850 N Main Street Ext
BLDG 2 Suite C2
Wallingford, CT 06492-2400

Phone

(203) 269-9778

Fax

(203) 949-1544

NPI assigned

Sep 18, 2007

Last updated

Sep 18, 2007By 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

Dr. Michael A Clark, M.DNPI 1912903949

Title

Physician/Owner

Phone

(203) 269-9778

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Michael Clark, MD

  • Family Medicine Physician
  • Wallingford, CT
  • NPI 1912903949
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1821284407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N MAIN STREET EXT",
            "address_2": "BLDG 2 SUITE C2",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922400",
            "telephone_number": "203-269-9778",
            "fax_number": "203-949-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N MAIN STREET EXT",
            "address_2": "BLDG 2 SUITE C2",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922400",
            "telephone_number": "203-269-9778",
            "fax_number": "203-949-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE FAMILY MEDICINE &WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "203-269-9778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Subhashini Arigovindan
• Diane L Armstrong, PT
• Patrick Michael Armstrong, M.S.,ACSM-RCEP
• Ashley Arthur
• Kwaku Ohene Asare, M
• Dylan Jared Assael, MD
• Neslyne Belinda Augustin, MD
• Karen E Austin, PT
• Authentically You Counseling and Arts LLC
• Alyssa Jeannette Axelrod, LCSW

• Family Medicine Physician in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.