NPIMap

Organization Active NPI

Healthwise Medical Associates, LLP

  • Family Medicine Physician
  • Vernon, CT
National Provider Identifier
1891749933
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTHWISE MEDICAL ASSOCIATES, LLP
Practice address
29 Naek Rd
Suite 5
Vernon, CT 06066-3942
Phone
(860) 872-2289
Fax
(860) 896-1425
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Renee Irvin
Title
Ceo
Phone
(860) 872-2289

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X 000765 CT

Addresses

Primary practice location

29 Naek Rd
Suite 5
Vernon, CT 06066-3942

Mailing address

PO Box 3249
Vernon, CT 06066-2149
Phone (860) 896-1422

Other identifiers 1

IdentifierTypeStateIssuer
C02356OtherCTMEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

192 E Center St
Manchester, CT 06040
Phone (860) 649-3243

375 E Center St
Manchester, CT 06040
Phone (860) 646-0166

6 Fieldstone Cmns
Ste D
Tolland, CT 06084
Phone (860) 871-6710

49 Hartford Tpke
Ste 3
Vernon, CT 06066
Phone (860) 812-1972

29 Naek Rd
Ste 5
Vernon Rockville, CT 06066
Phone (860) 872-2289

57 Hartford Tpke
Vernon Rockville, CT 06066
Phone (860) 645-1100

Practitioners & affiliated clinicians

Practitioners 47

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

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1891749933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3249",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060662149",
            "telephone_number": "860-896-1422",
            "fax_number": "860-896-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NAEK RD",
            "address_2": "SUITE 5",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663942",
            "telephone_number": "860-872-2289",
            "fax_number": "860-896-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWISE MEDICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-872-2289"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "000765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C02356",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.