NPIMap

Organization Active NPI

Lori L. Fritts, MD, LLC

  • Surgery Physician
  • Bloomfield, CT
National Provider Identifier
1891970588
Registry record updated Jan 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
032501 Issued in CT
Legal business name
LORI L. FRITTS, MD, LLC
Practice address
3 Northwestern Dr
Bloomfield, CT 06002-3465
Phone
(860) 726-1414
Fax
(860) 726-0022
NPI assigned
Jan 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2008

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

Authorized official

Name
Dr. Lori L. Fritts, M.D.NPI 1295867737
Title
Owner
Phone
(860) 726-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 032501 CT Primary

Addresses

Primary practice location

3 Northwestern Dr
Bloomfield, CT 06002-3465

Mailing address

3 Northwestern Dr
Bloomfield, CT 06002-3465
Phone (860) 726-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051228000669 CT Part B Supplier - Clinic/Group Practice 3971525338 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomfield, CT

National Provider Directory

National Provider Directory

Locations

3 Northwestern Dr
Bloomfield, CT 06002
Phone (860) 242-5594

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1199145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199145600000",
    "number": "1891970588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NORTHWESTERN DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023465",
            "telephone_number": "860-726-1414",
            "fax_number": "860-726-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 NORTHWESTERN DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023465",
            "telephone_number": "860-726-1414",
            "fax_number": "860-726-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI L. FRITTS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-01",
        "last_updated": "2008-01-01",
        "status": "A",
        "authorized_official_last_name": "FRITTS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-726-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CT",
            "license": "032501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.