MIDDLESEX HOSPITAL (NPI# 1194243097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194243097 |
| Entity Type | Organization |
| Organization Name | MIDDLESEX HOSPITAL |
| Other Organization Name | MIDDLESEX HOSPITAL DBA MIDDLESEX HOSPITAL PHYSICIAN SERVICES |
| Practice Address |
154 Main St Old Saybrook CT 06475-2373 |
| Practice Telephone | (860) 358-6394 |
| Practice Fax Number | 8603586094 |
| Mailing Telephone | 8603586394 |
| Mailing Fax Number | 8603586094 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2019-07-22 |
| Authorized Official Name | VINCENT G. CAPECE (CEO) |
| Authorized Official Telephone | 8603586150 |
| 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 |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | FACILITY ST LICENSE # | 0069 | 01 |
| 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 |
| 1063937860 | Middlesex Hospital | Internal Medicine | Physician Office One, 250 Flat Rock Place, Westbrook, CT 06498-1565 | 2017-08-14 |
| 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 |
154 MAIN ST |
| City | OLD SAYBROOK |
| State | CT |
| Zip Code | 06475-2373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437193273 | Lucinda L Hautaniemi | Family Medicine | 154 Main St, Old Saybrook, CT 06475-2373 | 2006-06-15 |
| 1063834448 | Suzanne Tingley | Family Medicine | 154 Main St, Old Saybrook, CT 06475-2373 | 2014-01-20 |
| 1174868095 | Nathan Wade Scott | Nurse Practitioner | 154 Main St, Old Saybrook, CT 06475-2373 | 2012-12-04 |
| 1659513315 | Robert Nelson Jones | Family Medicine | 154 Main St, Old Saybrook, CT 06475-2373 | 2009-03-27 |
| 1104043017 | Mhs Primary Care | Nurse Practitioner | 154 Main St, Old Saybrook, CT 06475-2373 | 2007-04-20 |
| 1164570339 | Leonard G. Guitar | Psychologist | 154 Main St, Old Saybrook, CT 06475-2373 | 2007-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912464223 | Kathleen Malcolm | Physical Medicine & Rehabilitation | Apple Rehab Saybrook, 1775 Boston Post Rd, Old Saybrook, CT 06475 | 2019-02-22 |
| 1841661469 | Laura M. Shires, Lcsw, LLC | Social Worker | 24 Ledge Road, Old Saybrook, CT 06475 | 2015-10-08 |
| 1316323397 | Robyn Reilly | Nurse Practitioner | 1687 Rte 1, Old Saybrook, CT 06475 | 2015-08-03 |
| 1679858542 | Brandi Taylor | Counselor | 263 Main St., Suite 301, Old Saybrook, CT 06475 | 2011-10-11 |
| 1346545670 | Lucille Wymer Hartman | Mechanotherapist | 1775 Boston Post Road, Old Saybrook, CT 06475 | 2011-01-18 |
| 1508160631 | Whole Health Wellness, LLC | Clinic/Center | 139 Mill Rock Rd E Unit 1522, Old Saybrook, CT 06475 | 2011-01-04 |
| 1184948481 | Maria S. Foss-rand | Counselor | 251 Main St., Suite 100, Old Seybrook, CT 06475 | 2010-03-16 |
| 1467658161 | Rick Morant Dmd Ms LLC | Dentist | 1358 Boston Post Rd, Suite 2, Old Saybrook, CT 06475 | 2007-06-21 |
| 1174724801 | Richard P Benoit Dmd PC | Dentist | 123 Elm Street, Suite 1300, Old Saybrook, CT 06475 | 2007-05-30 |
| 1194932392 | Omotayo Elizabeth Awujoola | Nurse Practitioner | 20 Research Parkway, Old Saybrook, CT 06475 | 2007-05-17 |
| Find all providers in zip 06475 | ||||
| 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 |
|---|---|---|---|---|
| 1952586000 | Partners In Primary Care, LLC | Internal Medicine | 1358 Boston Post Rd, Unit 1, Old Saybrook, CT 06475-1749 | 2008-01-08 |
| 1215009170 | William John Mccann I | Internal Medicine | 251 Main St, Suite 4, Old Saybrook, CT 06475-2357 | 2006-11-15 |
| 1699737916 | Scott Warren Houghton | Internal Medicine | 929 Boston Post Rd, Old Saybrook, CT 06475-2143 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264659 | Urgent Care Center of Bloomfield Pllc | Internal Medicine | 699 Cottage Grove Rd, Bloomfield, CT 06002-3059 | 2020-10-28 |
| 1497353999 | Kaushar Desai | Internal Medicine | 23 Adam Dr, Newington, CT 06111-5143 | 2020-10-15 |
| 1255938940 | Shirley Kuan | Internal Medicine | 20 Taft St, Hamden, CT 06514-3422 | 2020-10-06 |
| 1306451869 | Falcon Medical LLC | Internal Medicine | 101 Washington Blvd Unit 1208, Stamford, CT 06902-7060 | 2020-09-11 |
| 1811509904 | Kristina Beauharnais | Internal Medicine | 18 Bedford Ave Apt 10, Norwalk, CT 06850-3849 | 2020-08-19 |
| 1720603087 | Ct Osteopathic, LLC | Internal Medicine | 41 Baldwin Ln, Glastonbury, CT 06033-3845 | 2020-06-12 |
| 1609495134 | West Hartford Primary Care, LLC | Internal Medicine | 9 Ellsworth Rd, West Hartford, CT 06107-2302 | 2020-04-14 |
| 1275178642 | Real Life Medical LLC | Internal Medicine | 1245 Farmington Ave # 226, West Hartford, CT 06107-2667 | 2019-11-09 |
| 1619525466 | Ilja Hulinsky Md PC | Internal Medicine | 4641 Main St Ste 3, Bridgeport, CT 06606-1827 | 2019-08-26 |
| 1023664125 | Emily Knowlton | Internal Medicine | 2000 Post Rd Ste 202, Fairfield, CT 06824-5730 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
| City | OLD SAYBROOK |
| Zip Code | 06475 |
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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.