PROSPECT CT MEDICAL FOUNDATION INC. NPI 1144677568

NPI Information

NPI: 1144677568
Provider Name: PROSPECT CT MEDICAL FOUNDATION, INC.

Other Name: MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
71 HAYNES ST
MILLER BLDG., FLOOR G
MANCHESTER, CT
ZIP 06040
Phone: (860) 533-2981
Get Directions

PROSPECT CT MEDICAL FOUNDATION, INC. is a family medicine in Manchester, 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. PROSPECT CT MEDICAL FOUNDATION, INC. NPI is 1144677568. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Medical Group.

The provider's business location address is:

71 HAYNES ST
MILLER BLDG., FLOOR G
MANCHESTER, CT
ZIP 06040-131
Phone: (860) 533-2981
Fax: (860) 533-2975

The provider's authorized official is Robert Jon Elders .
The authorized official title is Secretary and has the following contact phone number (714) 788-1249.

The enumeration date for this NPI number is 5/16/2016 and was last updated on 3/15/2021.

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	1041C0700X	Social Worker	Clinical	No
2	106H00000X	Marriage & Family Therapist		No
3	163W00000X	Registered Nurse		No
4	207R00000X	Internal Medicine		No
5	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
6	207RG0100X	Internal Medicine	Gastroenterology	No
7	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	No
8	207X00000X	Orthopaedic Surgery		No
9	208600000X	Surgery		No
10	2086S0129X	Surgery	Vascular Surgery	No
11	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		No
12	208M00000X	Hospitalist		No
13	363AM0700X	Physician Assistant	Medical	No
14	363L00000X	Nurse Practitioner		No
15	207Q00000X	Family Medicine		Yes

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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