Active NPIOrganization

Southington Pediatric Associates LLC

Pediatrics in Southington, Connecticut

NPI Number1659585149
Practice location
209 Main St, 1ST Floor, Southington, CT 06489
Fax
860-621-5169
Last updated
August 22, 2020

Southington Pediatric Associates LLC is a healthcare organization based in Southington, CT. Southington Pediatric Associates LLC practices in Southington, CT. The NPI Number for Southington Pediatric Associates LLC is 1659585149 and holds a License No. 021344 (CT). The current practice location address for Southington Pediatric Associates LLC is 209 Main St, 1ST Floor, Southington, CT 06489 and can be reached out via phone at 860-621-8331 and via fax at 860-621-5169.

Provider Profile Details

NPI Number
1659585149
Provider Name
Southington Pediatric Associates LLC
Provider Entity Type
Organization
Address
209 Main St, 1ST Floor, Southington, CT 06489
Phone Number
860-621-8331
Fax Number
860-621-5169
Primary Taxonomy
Pediatrics · 208000000X
Organization Subpart
No
Authorized Official
Mr. George Skarvinko, MD · MD Owner Of Practice · 860-621-8331
Provider Enumeration Date
May 10, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
209 Main St
1ST Floor
Southington, CT 06489
Zip
06489
Phone Number
860-621-8331
Fax Number
860-621-5169
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
209 Main St
1ST Floor
Southington, CT 06489
City
Southington
State
CT
Zip
06489
Phone Number
860-621-8331
Fax Number
860-621-5169

License Information

License Number
021344
License State
CT
Taxonomy
Pediatrics · 208000000X · 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 Southington Pediatric Associates LLC?

The NPI number of Southington Pediatric Associates LLC is 1659585149. It was assigned on May 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Southington Pediatric Associates LLC?

Southington Pediatric Associates LLC is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 021344.

Where does Southington Pediatric Associates LLC practice?

The practice location is 209 Main St, 1ST Floor, Southington, CT 06489. The office can be reached at 860-621-8331 (phone) or 860-621-5169 (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 1659585149 directly on the NPPES registry website.

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