SCOVILL MEDICAL GROUP, PC , NPI 1114929379
Internal Medicine in WATERBURY, CT
Last Updated on : Dec 17,2007
About SCOVILL MEDICAL GROUP, PC (NPI 1114929379)
SCOVILL MEDICAL GROUP, PC is an Internal Medicine in WATERBURY, United States .
1114929379 is NPI number of SCOVILL MEDICAL GROUP, PC.
SCOVILL MEDICAL GROUP, PC's primary taxonomy code based on NPI Lookup is 207R00000X with license number . This taxonomy code refers to Internal Medicine.
SCOVILL MEDICAL GROUP, PC current practice location address is 56 FRANKLIN ST, WATERBURY, CT. SCOVILL MEDICAL GROUP, PC can be reached out via phone at 203-709-8873 and via fax at 203-709-8689 .
You can also correspond with SCOVILL MEDICAL GROUP, PC through mail at mailing address 56 FRANKLIN ST, WATERBURY, CT, United States. Mailing address contact number is 203-709-8888.
The enumeration date of SCOVILL MEDICAL GROUP, PC is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 16 years ago. The authorized official of SCOVILL MEDICAL GROUP, PC is FRANCO GALASSO (President). FRANCO GALASSO can be reached at 2035979410.1114929379 NPI Information
Basic NPI information of SCOVILL MEDICAL GROUP, PC (NPI 1114929379) is provided below.
| Name | SCOVILL MEDICAL GROUP, PC |
|---|---|
| National Provider Id (NPI) | 1114929379 |
| Entity Type | Organization |
| Practice Address | 56 FRANKLIN ST,
FL 3
WATERBURY, CT, United States |
| Practice Telephone | 203-709-8873 |
| Practice Fax Number | 203-709-8689 |
| Mailing Address | 56 FRANKLIN ST ,
WATERBURY, CT, United States |
| Mailing Telephone | 203-709-8888 |
| Mailing Fax Number | 203-709-8689 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 17-Dec-2007 |
SCOVILL MEDICAL GROUP, PC (NPI 1114929379) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | 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.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 004174819 | MEDICAID (05) | CT |
SCOVILL MEDICAL GROUP, PC (NPI 1114929379) Office Location
Office location of SCOVILL MEDICAL GROUP, PC is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1962838615 | ZAZZ -BYRD | Community Health Worker | 141 E MAIN ST,
WATERBURY, CT, United States |
25-Sep-2013 |
| 1952944340 | 42 NORTH DENTAL CARE PLLC | Clinic/Center, Dental | 160 ROBBINS ST,
WATERBURY, CT, United States |
18-Oct-2019 |
| 1194367169 | A & S ADDICTION SERVICES, INC | Counselor, Addiction (Substance Use Disorder) | 1183 N MAIN ST,
WATERBURY, CT, United States |
11-Oct-2019 |
| 1710582531 | A PEACEFUL MIND COUNSELING | Counselor, Mental Health | 130 WOODTICK RD,
WATERBURY, CT, United States |
01-Dec-2020 |
| 1003280157 | A PROSPERING VISION HOLISTIC MEDICAL SERVICES, LLC | Nurse Practitioner | 60 N MAIN ST,
3RD FLR WATERBURY, CT, United States |
30-Nov-2015 |
| 1932473527 | A PROSPERING VISION, LLC | Community/Behavioral Health | 60 N MAIN ST,
3RD FLR WATERBURY, CT, United States |
29-Feb-2012 |
| 1063187672 | A WAVE OF CHANGE | Counselor, Addiction (Substance Use Disorder) | PO BOX 4034,
WATERBURY, CT, United States |
16-Aug-2021 |
| 1790078418 | A&G FAMILY DENTISTRY PC | Dentist, General Practice | 2354 OCEAN PKWY,
BROOKLYN, NY, United States |
27-May-2011 |
| 1780839977 | A.AZIZ RICHI, MD, LLC | Specialist | 1389 W MAIN ST,
SUITE 322 WATERBURY, CT, United States |
01-Dec-2008 |
| 1740975994 | A.D.R.I.E.L COUNSELING, LLC | 1558 HIGHLAND AVE APT 11,
WATERBURY, CT, United States |
05-Apr-2023 | |
| 1285081398 | SYED HASSAN ABBAS | Hospitalist | PO BOX 909,
LOUISVILLE, KY, United States |
18-May-2016 |
| 1205524154 | RAYA NASIR ABBASI | Student in an Organized Health Care Education/Training Program | SAINT MARY'S HOSPITAL, 56 FRANKLIN STREET,
WATERBURY, CT, United States |
28-Apr-2023 |
| 1710024484 | ABBOT TERRACE HEALTH CENTER | Assisted Living Facility | 44 ABBOTT TERRACE,
WATERBURY, CT, United States |
31-Jan-2007 |
| 1912969601 | ABBOTT TERRACE HEALTH CENTER | Clinic/Center, Adult Day Care | 44 ABBOTT TER,
WATERBURY, CT, United States |
06-Apr-2006 |
| 1720421407 | ABBOTT TERRACE HEALTH CENTER | Skilled Nursing Facility | 44 ABBOTT TER,
WATERBURY, CT, United States |
11-Apr-2013 |
| 1831781954 | ABC-CT,LLC | Behavior Analyst | 68 WILDEMERE AVE,
WATERBURY, CT, United States |
10-Feb-2021 |
| 1083237861 | SHALIMA ABDALLA | Physician Assistant, Medical | 141 E MAIN ST,
WATERBURY, CT, United States |
27-May-2020 |
| 1265739726 | WAHEEDAH ABDUL-LATEEF | Community Health Worker | 402 E MAIN ST,
WATERBURY, CT, United States |
18-Feb-2011 |
| 1386180768 | TARIQ M ABDULAZIZ | Counselor, Addiction (Substance Use Disorder) | PO BOX 907,
EAST WINDSOR, CT, United States |
10-Jan-2017 |
| 1255584314 | ABDULMASIH ZARIF, MD, LLC | Specialist | 1389 W MAIN ST,
SUITE 321 WATERBURY, CT, United States |
02-Nov-2008 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1114929379?1114929379 is the NPI number of SCOVILL MEDICAL GROUP, PC.
Where is SCOVILL MEDICAL GROUP, PC located?SCOVILL MEDICAL GROUP, PC is located at 56 FRANKLIN ST, WATERBURY, CT.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|