Farmington Pediatric & Adolescent Medicine, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

034605 Issued in CT

Legal business name

FARMINGTON PEDIATRIC & ADOLESCENT MEDICINE, LLC

Practice address

1 Forest Park Dr
Farmington, CT 06032-1487

Phone

(860) 677-1112

Fax

(860) 674-9442

NPI assigned

Jan 16, 2007

Last updated

Aug 2, 2011By 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. Barbara Ziogas, MDNPI 1790705804

Title

Member

Phone

(860) 677-1112

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 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

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.

• Barbara Ziogas, M.D.

  • Pediatrics Physician
  • Farmington, CT
  • NPI 1790705804
  NPD (past) Authorized official
• Rebecca Marie Pappalardo, PA-C

  • Physician Assistant
  • Farmington, CT
  • NPI 1841953015
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1982755849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FOREST PARK DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321487",
            "telephone_number": "860-677-1112",
            "fax_number": "860-674-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FOREST PARK DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321487",
            "telephone_number": "860-677-1112",
            "fax_number": "860-674-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON PEDIATRIC & ADOLESCENT MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "ZIOGAS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-677-1112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "034605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004271946",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farmington Dental Associates
• Farmington Dental PLLC (Family Dental Care of Farmington)
• Farmington Family Dental Group, PLLC (Farmington Family Dentistry)
• Farmington Family Dentistry, LLC
• Farmington Imaging Center, LLC
• Farmington Public Schools
• Farmington Rehab Center, LLC
• Farmington Surgery Center LLC
• Farmington Village Dental Associates, LLC
• Kimberly A Farrell, D.M.D

• Pediatrics Physician in Farmington, CT
• Providers in Farmington, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.