Prospect Family Medicine, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PROSPECT FAMILY MEDICINE, PC

Practice address

115 Waterbury Rd.
Prospect, CT 06712

Phone

(203) 758-5660

NPI assigned

Dec 12, 2006

Last updated

Aug 22, 2020By 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

Dr. Drew Jameson Edwards, M.D.

Title

Owner

Phone

(203) 758-5660

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14193/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Donald Ernest Sampson, M.D.

  • Pediatrics Physician
  • Stamford, CT
  • NPI 1558318501
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972664217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WATERBURY RD.",
            "address_2": "PO BOX 7038",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "06712",
            "telephone_number": "203-758-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WATERBURY RD.",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "06712",
            "telephone_number": "203-758-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "JAMESON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-758-5660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD GROUP ID",
            "identifier": "G1897306",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Percy, PT
• Nicholas Perdion, PHARMD, RPH
• Priceless Dental Care P.C.
• Primary Care Partners, PC
• Prospect Diagnostic Imaging
• Prospect Pharmacy LLC (prospect pharmacy)
• Quest Diagnostics LLC
• Mary Ann Reagan, LMFT
• Region #16
• Olivia Madalena Dasilva Rego, RDH

• Family Medicine Physician in Prospect, CT
• Providers in Prospect, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.