MHS PRIMARY CARE (NPI# 1942429014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942429014 |
| Entity Type | Organization |
| Organization Name | MHS PRIMARY CARE |
| Other Organization Name | COGINCHAUG-DURHAM FAMILY PRACTICE |
| Practice Address |
6 Main St. Durham CT 06422 |
| Mailing Address |
28 Crescent St Middletown CT 06457-3654 |
| Practice Telephone | 8603491058 |
| Practice Fax Number | 8603588652 |
| Mailing Telephone | 8603584802 |
| Mailing Fax Number | 8606320240 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | MS. SUSAN SERKEY (NETWORK EXECUTIVE) |
| Authorized Official Telephone | 8603584802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207R00000X | Internal Medicine | CT | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 04173259 | 05 |
| Other Name | Type Code |
|---|---|
| Coginchaug-Durham Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639399959 | Mhs Primary Care | Internal Medicine | 520 Saybrook Rd, Suite N100, Middletown, CT 06457-4700 | 2007-04-27 |
| 1710104625 | Mhs Primary Care | Social Worker | 270 Main St, Portland, CT 06480-1857 | 2007-04-20 |
| 1164649075 | Mhs Primary Care | Nurse Practitioner | 1291 Boston Post Rd, Suite 105, Madison, CT 06443-3476 | 2007-04-20 |
| 1538386420 | Mhs Primary Care | Nurse Practitioner | 80 Shunpike Rd, Suite 301, Cromwell, CT 06416-4401 | 2007-04-20 |
| 1104043017 | Mhs Primary Care | Nurse Practitioner | 154 Main St, Old Saybrook, CT 06475-2373 | 2007-04-20 |
| 1992922892 | Mhs Primary Care | Nurse Practitioner | 147 Westbrook Rd, Essex, CT 06426-1512 | 2007-04-20 |
| Street Address |
6 MAIN ST. |
| City | DURHAM |
| State | CT |
| Zip Code | 06422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790999019 | Durham Dental LLC | Dentist | 360 D Main Street, Durham, CT 06422 | 2007-05-09 |
| 1407490717 | Sharon Jean Koch | Social Worker | 80 Plains Rd, Unit 1, Essex, CT 06422 | 2019-10-30 |
| 1013343334 | William Allen Gillespie | Pediatrics | 256 Main St, Durham, CT 06422 | 2013-09-18 |
| 1386993574 | Brownstone Psychological Associates, LLC | Psychologist | 199 Main Street, Durham, CT 06422 | 2012-09-03 |
| 1265469068 | Bradford W Wilkinson | Family Medicine | 6 Main St, Durham, CT 06422 | 2006-06-27 |
| 1851640148 | Debra Shepard Nelson | Psychologist | 199 Main Street, Durham, CT 06422-0002 | 2012-09-03 |
| 1457774978 | Karen Otte | Social Worker | 525 New Haven Rd., Durham, CT 06422-0236 | 2014-02-04 |
| 1396746400 | Amit Patel | Dentist | 28 Elihu Dr, Durham, CT 06422-1025 | 2005-08-10 |
| 1730458068 | Diane Adele Mount Desroches | Registered Nurse | 459r Wallingford Rd, Durham, CT 06422-1124 | 2011-12-15 |
| 1811250632 | Angela Andrade | Social Worker | 459r Wallingford Rd, Durham, CT 06422-1124 | 2012-06-18 |
| Find all providers in zip 06422 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750923215 | Carolina Health Clinic | Family Medicine | 2634 Durham Chapel Hill Blvd Ste 216, Durham, NC 27707-2800 | 2019-10-16 |
| 1235789215 | Rachel Cahoon Gray | Family Medicine | 3601 Grouse Ct, Durham, NC 27704-2488 | 2019-09-12 |
| 1285108209 | Tywana Donaldson | Family Medicine | 30 Medicine Circle, Durham, NC 27710-3038 | 2019-01-12 |
| 1396247839 | Better Life Family Center | Family Medicine | 308 S Woodcrest St Apt 5, Durham, NC 27703-3374 | 2018-02-28 |
| 1306378005 | Southpoint Family Medicine, Pllc | Family Medicine | 1515 W Nc Highway 54 Ste 130, Durham, NC 27707-5575 | 2017-03-31 |
| 1174068803 | Theodore Bruno | Family Medicine | 12 Pleasant Ter, Durham, CT 06422-2305 | 2017-01-04 |
| 1588018550 | Asiyah Zahra Mikell | Family Medicine | 516 Tall Oaks Dr, Durham, NC 27713-9358 | 2016-04-15 |
| 1114380797 | Alexa Maureen Mieses Malchuk | Family Medicine | 3708 Mayfair St., Suite 100, Durham, NC 27707 | 2016-04-01 |
| 1730593898 | Senait Fremichael Efrem | Family Medicine | 1821 Hillandale Rd Ste 24b, Durham, NC 27705-2671 | 2014-06-17 |
| 1699187963 | James Barlow | Family Medicine | 7 Mill Road Plz # C, Durham, NH 03824-3047 | 2014-05-21 |
| Find all providers in DURHAM | ||||
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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.