Winsted Internal Medicine Associates, PC

Organization Active NPI Internal Medicine Physician · Winsted, CT

NPI 1992904015 · NPPES record last updated Jul 18, 2007

Key facts

NPI
1992904015
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
WINSTED INTERNAL MEDICINE ASSOCIATES, PC
Practice address
115 Spencer St
Winsted, CT 06098-1140
Phone
(860) 379-3339
Fax
(860) 379-2269
NPI assigned
Jul 18, 2007
Organization subpart
No

Authorized official

Name
Joyce M Millard
Title
Office Manager
Phone
(860) 379-3339

Practitioners 3

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0093860Winsted Internal Medicine Associates
115 Spencer Street, Winsted, CT 06098
Certificate of waiverMar 5, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100812000070 CT Part B Supplier - Clinic/Group Practice 6709910862 Receives reassigned benefits from 3 practitioners
Practice locations: Winsted, CT

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

115 Spencer St
Winsted, CT 06098-1140

Mailing address

115 Spencer St
Winsted, CT 06098-1140
Phone (860) 379-3339

Other providers in Winsted, CT

All providers in Winsted, CT · Internal Medicine Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.