C WALLACE ANDRIAS M.D. NPI 1598718876

NPI Information

NPI: 1598718876
Provider Name: C WALLACE ANDRIAS, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
235 LESTERTOWN RD
GROTON, CT
ZIP 06340
Phone: (860) 822-3547
Get Directions

C Wallace Andrias, M.D. is a cardiovascular disease internal medicine in Groton, CT. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. C Wallace Andrias, M.D. NPI is 1598718876. 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:

235 LESTERTOWN RD
GROTON, CT
ZIP 06340-808
Phone: (860) 822-3547

The NPI 1598718876 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 7/21/2022.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	20133	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	060014262	OTHER		RR MED/ECCG: 06-1049086
2	060064826	OTHER		RR MED/ECCD: 06-1616101
3	010020133CT02	OTHER		ANTHEM/ECCG:06-1049086
4	P2524339	OTHER		OXFORD/ECCD: 06-1616101
5	001201334	OTHER		BLUECARE FAMILY PLAN
6	030265	OTHER		HEALTHNET/ECCG:06-1049086
7	0V9740	OTHER		HEALTHNET/ECCD:06-1616101
8	500HBC444CT01	OTHER		ANTHEM/HOSP-BASED ECCD
9	010020133CT06	OTHER		ANTHEM/ECCD:06-1616101
10	020133	OTHER		CONNECTICARE
11	001201334	MEDICAID	CONNECTICUT
12	NLS101	OTHER		OXFORD/ECCG: 06-1049086

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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