PROHEALTH PHYSICIANS PC NPI 1720194053

NPI Information

NPI: 1720194053
Provider Name: PROHEALTH PHYSICIANS PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3 FARM GLEN BLVD
PROHEALTH PHYSICIANS
FARMINGTON, CT
ZIP 06032
Phone: (860) 284-5200
Get Directions

PROHEALTH PHYSICIANS PC is a family medicine in Farmington, CT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROHEALTH PHYSICIANS PC NPI is 1720194053. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3 FARM GLEN BLVD
PROHEALTH PHYSICIANS
FARMINGTON, CT
ZIP 06032-981
Phone: (860) 284-5200
Fax: (860) 409-4077

The provider's authorized official is Jennifer Donahue .
The authorized official title is Chief Medical Officer and has the following contact phone number (860) 284-5207.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 5/26/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		Yes
2	207R00000X	Internal Medicine		No
3	207RG0100X	Internal Medicine	Gastroenterology	No
4	207Y00000X	Otolaryngology		No
5	208000000X	Pediatrics		No
6	2080P0206X	Pediatrics	Pediatric Gastroenterology	No
7	2084N0400X	Psychiatry & Neurology	Neurology	No
8	225100000X	Physical Therapist		No
9	363A00000X	Physician Assistant		No
10	363L00000X	Nurse Practitioner		No
11	363LA2200X	Nurse Practitioner	Adult Health	No
12	363LF0000X	Nurse Practitioner	Family	No
13	363LP0200X	Nurse Practitioner	Pediatrics	No
14	363LP2300X	Nurse Practitioner	Primary Care	No
15	364SA2200X	Clinical Nurse Specialist	Adult Health	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004174421	OTHER	CONNECTICUT	FP MEDICAID
2	004171659	OTHER	CONNECTICUT	PED MEDICAID
3	C02126	OTHER	CONNECTICUT	MEDICARE PTAN
4	004236073	OTHER	CONNECTICUT	PT MEDICAID
5	004174439	MEDICAID	CONNECTICUT

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: 11/14/2023

NPI Synchronization or Removal

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