Manchester Medical Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MANCHESTER MEDICAL ASSOCIATES, PC

Practice address

130 Hartford Rd
Manchester, CT 06040-5921

Phone

(860) 646-6210

Fax

(860) 645-3363

NPI assigned

Mar 14, 2006

Last updated

Dec 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theresa M Caputo, MD

Title

President

Phone

(860) 646-6210

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Kimberly A Barclay, APRN

  • Nurse Practitioner
  • Avon, CT
  • NPI 1417926296
  NPD (past)
• Danielle L Helm, PA

  • Physician Assistant
  • Manchester, CT
  • NPI 1457329500
  NPD (past)
• Savita Nirav Sheth, MD

  • Internal Medicine Physician
  • Manchester, CT
  • NPI 1902874076
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1942278122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HARTFORD RD",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405921",
            "telephone_number": "860-646-6210",
            "fax_number": "860-645-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HARTFORD RD",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405921",
            "telephone_number": "860-646-6210",
            "fax_number": "860-645-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "CAPUTO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-646-6210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "C003687",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4129749",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manchester Health Center, Inc (Crestfield Rehabilitation & Fenwood Manor)
• Manchester Health Department
• Manchester Home Care LLC
• Manchester Manor SNF Operations LLC
• Manchester Medical Associates PC
• Manchester Memorial Hospital (Manchester Memoril Hospital Psychiatric)
• Manchester Memorial Hospital
• Manchester Memorial Hospital
• Manchester Memorial Hospital
• Manchester Memorial Hospital

• Internal Medicine Physician in Manchester, CT
• Providers in Manchester, 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 Dec 26, 2007; 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.