Primary Care Physicians of Stratford, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIMARY CARE PHYSICIANS OF STRATFORD, LLC

Practice address

2890 Main St
Suite 2a
Stratford, CT 06614-4980

Phone

(203) 378-3696

NPI assigned

Nov 4, 2015

Last updated

Aug 17, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

ST.VINCENTS MULTISPECIALTY GROUPAs reported in NPPES

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

Authorized official

Name

Christopher L Willey

Title

Executive Director

Phone

(203) 576-5076

Specialties & licenses 2

Addresses

Part of

St Vincents Multispecialty Group Inc

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frank Raymond Scifo, M.D.

  • Family Medicine Physician
  • Bridgeport, CT
  • NPI 1003901794
  NPD
• Cynthia MP Porter, P.A.

  • Physician Assistant
  • Ithaca, NY
  • NPI 1134502701
  NPD (past)

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1902279607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 MAIN ST",
            "address_2": "SUITE 216",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 MAIN ST",
            "address_2": "SUITE 2A",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144980",
            "telephone_number": "203-378-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PHYSICIANS OF STRATFORD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST.VINCENTS MULTISPECIALTY GROUP",
        "enumeration_date": "2015-11-04",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "WILLEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-576-5076"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Connecticut Medical, P.C. (The Wellness Center operated by Premise Health)
• Anne Pretty, LCSW
• Heather Previs
• Robert Scott Prewitt, M.D.
• Primary Care Associates,PC
• Ptsma, Inc. (Select Physical Therapy)
• Pulmonary Rehabilitation Associates, LLC
• Purple Hippo Counseling Services, LLC
• Florette Pursell, M.S. CCC-SLP
• Quality Medical Training Center

• Internal Medicine Physician in Stratford, CT
• Providers in Stratford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.