MIDDLESEX HOSPITAL (NPI# 1063937860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063937860 |
| Entity Type | Organization |
| Organization Name | MIDDLESEX HOSPITAL |
| Other Organization Name | MIDDLESEX HOSPITAL DBA MIDDLESEX HOSPITAL PHYSICIAN SERVICES |
| Practice Address |
Physician Office One 250 Flat Rock Place Westbrook CT 06498-1565 |
| Mailing Address |
28 Crescent St Middletown CT 06457-3654 |
| Practice Telephone | 8603583640 |
| Practice Fax Number | 8603588656 |
| Mailing Telephone | 8603586394 |
| Mailing Fax Number | 8603586094 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2019-07-22 |
| Authorized Official Name | VINCENT G CAPECE (CEO) |
| Authorized Official Telephone | 8603586150 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDDLESEX HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
CT | Allopathic & Osteopathic Physicians | |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
CT | Allopathic & Osteopathic Physicians | |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
CT | Allopathic & Osteopathic Physicians | |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
CT | Allopathic & Osteopathic Physicians | |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
CT | Allopathic & Osteopathic Physicians | |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
CT | Allopathic & Osteopathic Physicians | |
| N | 363L00000X | Nurse Practitioner | CT | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
CT | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
CT | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CT | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207R00000X | Internal Medicine | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004121125 | 05 |
| Other Name | Type Code |
|---|---|
| Middlesex Hospital dba Middlesex Hospital Physician Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649780479 | Middlesex Hospital | Internal Medicine | 520 Saybrook Rd Ste N100, Middletown, CT 06457-4741 | 2017-10-06 |
| 1689634826 | Middlesex Hospital | Preventive Medicine | 534 Saybrook Rd, Middletown, CT 06457-4754 | 2006-03-23 |
| 1194243097 | Middlesex Hospital | Internal Medicine | 154 Main St, Old Saybrook, CT 06475-2373 | 2017-08-31 |
| 1710370390 | Middlesex Hospital | Ambulance | 28 Crescent St, Middletown, CT 06457-3654 | 2015-03-06 |
| 1083914907 | Middlesex Hospital | Physician Assistant | 192 Westbrook Rd, Essex, CT 06426-1556 | 2010-10-26 |
| 1982652343 | Middlesex Hospital | Psychiatric Unit | 28 Crescent St, Middletown, CT 06457-3654 | 2006-05-05 |
| 1003873233 | Middlesex Hospital | Hospice Care, Community Based | 770 Saybrook Rd, Middletown, CT 06457-4739 | 2006-05-01 |
| 1194781328 | Middlesex Hospital | Home Health Aide | 770 Saybrook Rd, Middletown, CT 06457-4739 | 2006-04-25 |
| 1972563138 | Middlesex Hospital | Emergency Medicine | 80 S Main St, Middletown, CT 06457-3648 | 2006-03-23 |
| 1851350664 | Middlesex Hospital | Family Medicine | 90 S Main St, Middletown, CT 06457-3649 | 2006-03-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MIDDLESEX HOSPITAL | |
| System for Award Management (SAM) Entities | MIDDLESEX HOSPITAL FOUNDATION, INC. | 28 Crescent St, Middletown, CT 06457-3654 |
| Connecticut Business Registrations | MIDDLESEX HOSPITAL FOUNDATION, INC. | C/o Middlesex Health System, Inc., 28 Crescent St, Middletown, CT 06457 |
| System for Award Management (SAM) Entities | MIDDLESEX HOSPITAL PRIMARY CARE | 28 Crescent St, Middletown, CT 06457-3654 |
| Street Address |
PHYSICIAN OFFICE ONE 250 FLAT ROCK PLACE |
| City | WESTBROOK |
| State | CT |
| Zip Code | 06498-1565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851510929 | Mhs Primary Care, Inc. | Internal Medicine | Physician Office One, 250 Flat Rock Pl, Westbrook, CT 06498-1565 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699966648 | Anthony P Ciaburri | Physical Therapist | 5 Pequot Park Road, Suite 303, Westbrook, CT 06498 | 2007-08-06 |
| 1043224579 | Thomas V Brady | Dentist | 1823 Boston Post Rd, Westbrook, CT 06498 | 2006-07-28 |
| 1194760579 | Gregory J Kundrat | Family Medicine | 4 Grove Beach Rd North, Building 1, Unit A, Westbrook, CT 06498 | 2006-06-18 |
| 1437468386 | Westbrook Youth and Family Services, Inc | Counselor | 1163 Boston Post Rd, Westbrook, CT 06498-0918 | 2010-09-27 |
| 1912295924 | Marvin Lloyd Sears | Ophthalmology | 952 Pond Meadow Rd, Westbrook, CT 06498-1429 | 2011-07-12 |
| 1689841660 | Kristina J. Lipeika | Physical Therapist | 5 Pequot Park Rd, Lakebrook Medical Center Suite 303, Westbrook, CT 06498-1467 | 2008-05-09 |
| 1700321403 | Dignity Home Health LLC | Home Health | 30 Ken Rose Ter, Westbrook, CT 06498-1487 | 2017-01-04 |
| 1568551174 | Holly Finley David | Dietitian, Registered | 44 Andre Dr, Westbrook, CT 06498-1525 | 2006-10-12 |
| 1053385310 | David E Walker | Family Medicine | 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 | 2006-02-14 |
| 1033561758 | Megin Iaccarino | Nurse Practitioner | 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 | 2016-07-06 |
| Find all providers in zip 06498 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851510929 | Mhs Primary Care, Inc. | Internal Medicine | Physician Office One, 250 Flat Rock Pl, Westbrook, CT 06498-1565 | 2007-04-25 |
| 1952406266 | Michael Greggory Batt | Internal Medicine | 50 Park Road, Suite 1, Westbrook, ME 04092 | 2006-09-13 |
| 1770530404 | Elwood J Fox | Internal Medicine | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-05-28 |
| 1386632289 | Kristin Parris | Internal Medicine | 1 Harnois Ave, Westbrook, ME 04092-4392 | 2005-10-13 |
| 1013233311 | Town and Country Physicians LLC. | Internal Medicine | 4 Grove Beach Rd N, Suite D, Westbrook, CT 06498-1656 | 2010-04-12 |
| 1215196985 | Ellis A Johnson | Internal Medicine | 1 Harnois Ave, Westbrook, ME 04092-4392 | 2008-06-06 |
| 1629294533 | Andrew Jon Kopperud | Internal Medicine | 920 Bell Ave, Westbrook, MN 56183-9669 | 2007-04-18 |
| 1982760542 | Jill M Banatoski | Internal Medicine | 5 Pequot Park Rd, Suite 301, Westbrook, CT 06498-2856 | 2006-12-28 |
| 1710059902 | Linford J Stillson | Internal Medicine | 825 Main St, Suite 1, Westbrook, ME 04092-2872 | 2006-11-14 |
| 1902992142 | Robert A Sturges | Internal Medicine | 1 Harnois Ave, Westbrook, ME 04092-4392 | 2006-10-05 |
| Find all providers in WESTBROOK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.