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HARTFORD PHYSICIAN SERVICES PC NPI 1164404117


NPI Information

NPI: 1164404117
Provider Name: HARTFORD PHYSICIAN SERVICES PC

Doing Business As: HARTFORD MEDICAL GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
200 RETREAT AVE
8TH FLOOR- RESEARCH BLDG
HARTFORD, CT
ZIP 06106
Phone: (860) 545-7188
Get Directions

HARTFORD PHYSICIAN SERVICES PC is an internal medicine in Hartford, CT. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. HARTFORD PHYSICIAN SERVICES PC NPI is 1164404117. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hartford Medical Group.

The provider's business location address is:

200 RETREAT AVE
8TH FLOOR- RESEARCH BLDG
HARTFORD, CT
ZIP 06106
Phone: (860) 545-7188
Fax: (860) 549-2215

The provider's authorized official is Kent I Stahl .
The authorized official title is Md/medical Director and has the following contact phone number (860) 571-7253.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 11/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineNo
2207Q00000XFamily MedicineNo
3207QG0300XFamily MedicineGeriatric MedicineNo
4207RG0100XInternal MedicineGastroenterologyNo
5207RG0300XInternal MedicineGeriatric MedicineNo
6208000000XPediatricsNo
72083X0100XPreventive MedicineOccupational MedicineNo
8363A00000XPhysician AssistantNo
9363L00000XNurse PractitionerNo
10207T00000XNeurological Surgery046916CONNECTICUTNo
11207RP1001XInternal MedicinePulmonary Disease025147CONNECTICUTNo
12207X00000XOrthopaedic Surgery48268CONNECTICUTNo
13207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CA0228MEDICARE PIN
2004092904MEDICAIDCONNECTICUT
3C00813MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.