NPIMap

Organization Active NPI

Hartford Clinical Associates, P.C.

  • Surgical Oncology Physician
  • Hartford, CT
National Provider Identifier
1891959870
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
Legal business name
HARTFORD CLINICAL ASSOCIATES, P.C.
Practice address
85 Seymour St
Suite #401
Hartford, CT 06106-5501
Phone
(860) 524-2787
Fax
(860) 524-2698
NPI assigned
Jul 18, 2008
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
HARTFORD CLINICAL ASSOCIATES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
John L Fundock
Title
Vice President, Operations
Phone
(860) 545-7188

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU
Surgical Oncology Physician 2086X0206X NU Primary

Addresses

Primary practice location

85 Seymour St
Suite #401
Hartford, CT 06106-5501

Mailing address

85 Seymour St
Suite #401
Hartford, CT 06106-5501
Phone (860) 524-2787

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidCT

Other names 1

  • HCA Specialty Group Other name

National Provider Directory

National Provider Directory
Tax ID family
Harford Clinical Associates PC4 organizations share this tax ID, including this one
Part of
Harford Clinical Associates PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1891959870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE #401",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-524-2787",
            "fax_number": "860-524-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE #401",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-524-2787",
            "fax_number": "860-524-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD CLINICAL ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARTFORD CLINICAL ASSOCIATES, P.C.",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "FUNDOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT, OPERATIONS",
        "authorized_official_telephone_number": "860-545-7188"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCA Specialty Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.