DR. WILLIAM SHEVIN MD NPI 1629168059

NPI Information

NPI: 1629168059
Provider Name: DR. WILLIAM SHEVIN, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
50 APPLEWOOD DR
WOODSTOCK, CT
ZIP 06281
Phone: (860) 928-4040
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DR. William Shevin, MD is a general practice in Woodstock, CT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. William Shevin, MD NPI is 1629168059. 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:

50 APPLEWOOD DR
WOODSTOCK, CT
ZIP 06281
Phone: (860) 928-4040
Fax: (860) 928-0733

The enumeration date for this NPI number is 10/14/2006 and was last updated on 12/15/2009.

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	208D00000X	General Practice		CT021770	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	080000113	MEDICARE ID-TYPE UNSPECIFIED
2	010021770CT01	OTHER	CONNECTICUT	BLUE CROSS BLUE SHIELD
3	CT5191	OTHER		HEALTHNET
4	010057604	OTHER		RAILROAD MEDICARE
5	B83959	MEDICARE UPIN
6	782878	OTHER		CONNECTICARE

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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