MR. THOMAS KUCHARCHIK MD NPI 1558473769

NPI Information

NPI: 1558473769
Provider Name: MR. THOMAS KUCHARCHIK, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
481 GOLD STAR HWY
SUITE 100
GROTON, CT
ZIP 06340
Phone: (860) 446-8858
Get Directions

MR. Thomas Kucharchik, MD is a family medicine in Groton, 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. MR. Thomas Kucharchik, MD NPI is 1558473769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

481 GOLD STAR HWY
SUITE 100
GROTON, CT
ZIP 06340-702
Phone: (860) 446-8858
Fax: (860) 405-2140

The NPI 1558473769 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 8/29/2013.

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	License Number	License State	Primary
1	207Q00000X	Family Medicine		9785	SOUTH CAROLINA	No
2	207Q00000X	Family Medicine		25896	CONNECTICUT	Yes

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	SC11353402	OTHER	SOUTH CAROLINA	MEDICARE PTAN
2	761101	OTHER		CONNECTICARE
3	097852	MEDICAID	SOUTH CAROLINA
4	010025896CT01	OTHER		BCBS
5	B39132	MEDICARE UPIN
6	NLP057	OTHER	CONNECTICUT	OXFORD
7	030897	OTHER	CONNECTICUT	HEALTHNET
8	080001035	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
9	001258961	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: 4/28/2024

NPI Synchronization or Removal

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