Active NPIOrganization

Midstate Medical Group, PC

Internal Medicine in Southington, Connecticut

NPI Number1427089598
Practice location
98 Main St Ste 300, Southington, CT 06489-2500
Fax
860-620-0446
Last updated
August 24, 2012

Midstate Medical Group, PC is a healthcare organization based in Southington, CT. Midstate Medical Group, PC practices in Southington, CT. The NPI Number for Midstate Medical Group, PC is 1427089598. The current practice location address for Midstate Medical Group, PC is 98 Main St Ste 300, Southington, CT 06489-2500 and can be reached out via phone at 203-694-5580 and via fax at 860-620-0446.

Provider Profile Details

NPI Number
1427089598
Provider Name
Midstate Medical Group, PC
Provider Entity Type
Organization
Address
98 Main St Ste 300, Southington, CT 06489-2500
Phone Number
203-694-5580
Fax Number
860-620-0446
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Ralph Becker · Vice President, Finance · 860-545-7602
Provider Enumeration Date
July 6, 2006
Last Update Date
August 24, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
98 Main St Ste 300
Southington, CT 06489-2500
Zip
06489-2500
Phone Number
203-694-5580
Fax Number
860-620-0446
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
98 Main St Ste 300
Southington, CT 06489-2500
City
Southington
State
CT
Zip
06489-2500
Phone Number
203-694-5580
Fax Number
860-620-0446

License Information

Taxonomy (1)
Internal Medicine, Sports Medicine · 207RS0010X
Taxonomy (2)
Family Medicine · 207Q00000X
Taxonomy (3)
Surgery · 208600000X
Taxonomy (5)
Psychiatry & Neurology, Neurology · 2084N0400X
Taxonomy (6)
Nurse Practitioner · 363L00000X
Taxonomy (7)
Physician Assistant · 363A00000X
Taxonomy (9)
Orthopaedic Surgery · 207X00000X
Taxonomy (10)
Otolaryngology · 207Y00000X
Taxonomy (11)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Midstate Medical Group, PC?

The NPI number of Midstate Medical Group, PC is 1427089598. It was assigned on July 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Midstate Medical Group, PC?

Midstate Medical Group, PC is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does Midstate Medical Group, PC practice?

The practice location is 98 Main St Ste 300, Southington, CT 06489-2500. The office can be reached at 203-694-5580 (phone) or 860-620-0446 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427089598 directly on the NPPES registry website.

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