Individual provider Active NPI

Carin Morse Vangelder, MD

  • Emergency Medicine Physician
  • Sharon, CT
National Provider Identifier
1912988916
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
038049 Issued in CT
Practice address
50 Hospital Hill Rd
Sharon, CT 06069-2096
Phone
(860) 364-4034
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 038049 CT Primary

Addresses

Primary practice location

50 Hospital Hill Rd
Sharon, CT 06069-2096

Mailing address

2800 Main St
Bridgeport, CT 06606-4201
Phone (475) 210-5604

Other identifiers 1

IdentifierTypeStateIssuer
001380493MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
038049CTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Em-1 Medical Services, PC Emergency Medicine Past Accepting new patients
Northeast Emergency Medicine Specialists, LLC Emergency Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1912988916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "475-210-5604",
            "fax_number": "475-210-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL HILL RD",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692096",
            "telephone_number": "860-364-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGELDER",
        "first_name": "CARIN",
        "middle_name": "MORSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "038049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001380493",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.