Capitol Chest Physicians, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

038695 Issued in CT

Legal business name

CAPITOL CHEST PHYSICIANS, LLC

Practice address

100 Retreat Ave
Suite 612
Hartford, CT 06106-2528

Phone

(860) 727-8885

Fax

(860) 241-0010

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fielding Johnson III, MD

Title

Owner

Phone

(860) 727-8885

Specialties & licenses 4

Addresses

Locations

Practitioners 2

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

• George Elias Mandalos, MD

  • Psychiatry Physician
  • Hartford, CT
  • NPI 1679611198
  NPD (past)
• Wendy Ann Tagan Conroy, APRN

  • Family Nurse Practitioner
  • Portland, CT
  • NPI 1821119843
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1841485224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RETREAT AVE",
            "address_2": "SUITE 612",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062528",
            "telephone_number": "860-727-8885",
            "fax_number": "860-241-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RETREAT AVE",
            "address_2": "SUITE 612",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062528",
            "telephone_number": "860-727-8885",
            "fax_number": "860-241-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL CHEST PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "FIELDING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-727-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "038695",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CT",
            "license": "038695",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "038695",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CT",
            "license": "038695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Canty, APRN
• Son H Cao
• Kathryn Capasso
• Traci Capasso, M.A.
• Nancy Caperino, LCSW
• Capitol Chiropractic Center LLC
• Capitol Dental Associates, LLC
• Capitol Region Education Council
• Capitol Region Mental Health Center Pharmacy
• Rachel Caplan, A.P.R.N.

• Pulmonary Disease Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Pulmonary Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.