Litchfield County Pediatrics, L.L.C.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

LITCHFIELD COUNTY PEDIATRICS, L.L.C.

Practice address

52 Peck Rd
Torrington, CT 06790-6107

Phone

(860) 489-4144

NPI assigned

Sep 10, 2007

Last updated

Sep 10, 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

Sophia Z Grant, MDNPI 1972547297

Title

Co-Owner

Phone

(860) 489-4144

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Sophia Z Grant, MD

  • Pediatric Adolescent Medicine Physician
  • Torrington, CT
  • NPI 1972547297
  Authorized official Same address or phone

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1982899316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 PECK RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 PECK RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906107",
            "telephone_number": "860-489-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITCHFIELD COUNTY PEDIATRICS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "860-489-4144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004221264",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Litchfield County Foot Clinic & Surgery Center, P.C.
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• Litchfield County Gastroenterology Associates, LLC (doing business as Nurse Practitioner)
• Litchfield County OB/GYN
• Litchfield County Orthopedic & Spine PC
• Litchfield Hills Eye Physicians PC
• Litchfield Hills Eye Physicians, P.C.
• Litchfield Hills Family Dental
• Litchfield Hills Family Medicine,LLC
• Litchfield Hills Northwest Elderly Nutrition Program

• Pediatric Adolescent Medicine Physician in Torrington, CT
• Providers in Torrington, CT by specialty
• Pediatric Adolescent Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.