Provider Type Icon

MIDSTATE MEDICAL GROUP PC NPI 1427089598


NPI Information

NPI: 1427089598
Provider Name: MIDSTATE MEDICAL GROUP, PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
98 MAIN ST STE 300
SOUTHINGTON, CT
ZIP 06489
Phone: (203) 694-5580
Get Directions

MIDSTATE MEDICAL GROUP, PC is an internal medicine in Southington, 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. MIDSTATE MEDICAL GROUP, PC NPI is 1427089598. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

98 MAIN ST STE 300
SOUTHINGTON, CT
ZIP 06489-500
Phone: (203) 694-5580
Fax: (860) 620-0446

The provider's authorized official is Ralph Becker .
The authorized official title is Vice President, Finance and has the following contact phone number (860) 545-7602.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 8/24/2012.


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
1207RS0010XInternal MedicineSports MedicineNo
2207RH0003XInternal MedicineHematology & OncologyNo
3207X00000XOrthopaedic SurgeryNo
4207Y00000XOtolaryngologyNo
5207Q00000XFamily MedicineNo
6208600000XSurgeryNo
7208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
82084N0400XPsychiatry & NeurologyNeurologyNo
9363L00000XNurse PractitionerNo
10363A00000XPhysician AssistantNo
11207R00000XInternal 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
1DF0362MEDICARE PIN
2004260022MEDICAIDCONNECTICUT
3C03549MEDICARE 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.