Partners in Primary Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036811 Issued in CT

Legal business name

PARTNERS IN PRIMARY CARE, LLC

Practice address

1358 Boston Post Rd
Unit 1
Old Saybrook, CT 06475-1749

Phone

(860) 510-0792

Fax

(860) 510-0793

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Jonathan Frederiks, MD

Title

Member

Phone

(860) 510-0792

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Marissa Caye Carignan, PA-C

  • Medical Physician Assistant
  • Manchester, CT
  • NPI 1407265978
  NPD

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1952586000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 BOSTON POST RD",
            "address_2": "UNIT 1",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751749",
            "telephone_number": "860-510-0792",
            "fax_number": "860-510-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 BOSTON POST RD",
            "address_2": "UNIT 1",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751749",
            "telephone_number": "860-510-0792",
            "fax_number": "860-510-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "FREDERIKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-510-0792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "036811",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "042678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debora Ouellette, APRN
• Sarah Es Overmoyer, PAC
• Kara Ganssle Pachniuk, MS, CNS, CN
• Laurie Ann Page, PT
• Steven Thomas Page
• Brenda Catherine Partyka, LCSW
• Suzanne Pascoe
• Path to Hope & Healing LLC
• Donna Peano
• Mary-Katherine Louetta Peralez, LPC, LMHC, LCPC

• Family Medicine Physician in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.