Connecticut Childbirth Center Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

CONNECTICUT CHILDBIRTH CENTER INC

Practice address

94 Locust Ave
Danbury, CT 06810-6032

Phone

(203) 748-6000

Fax

(203) 748-6771

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth Paul Blau, MDNPI 1780694919

Title

Owner

Phone

(203) 748-6000

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Connecticut Childbirth & Women's Center Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26315/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Kenneth Paul Blau, M.D.

  • Gynecology Physician
  • Danbury, CT
  • NPI 1780694919
  NPD Authorized official
• Laura Helen Matthews, CNM

  • Advanced Practice Midwife
  • Cookeville, TN
  • NPI 1073584538
  NPD

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1881817211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 LOCUST AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106032",
            "telephone_number": "203-748-6000",
            "fax_number": "203-748-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 LOCUST AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106032",
            "telephone_number": "203-748-6000",
            "fax_number": "203-748-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT CHILDBIRTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "BLAU",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-748-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "000245",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "000278",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "000111",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connecticut Childbirth & Women's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Danbury, CT
• Exclusive Provider Organization in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.