Midstate Medical Group, Pc in Southington - Sports Medicine
Midstate Medical Group, Pc - NPI 1427089598
Midstate Medical Group, Pc is a Sports Medicine in Southington, Connecticut. Midstate Medical Group, Pc practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Midstate Medical Group, Pc is 1427089598. The last update date is 2012-08-24.
Midstate Medical Group, Pc's current location address is 98 Main St Ste 300, Southington, Connecticut. You can contact this provider via phone number 2036945580 and fax number 8606200446. The mailing address for Midstate Medical Group, Pc is 98 Main St Ste 300, Southington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Midstate Medical Group, Pc |
|---|---|
| Address | 98 Main St Ste 300, Southington, Connecticut |
| Phone Number | 2036945580 |
| Fax Number | 8606200446 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Becker Ralph |
| Telephone Number | 8605457602 |
NPI Number Detail
| NPI Number | 1427089598 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2012-08-24 |
Provider Mailing Address Detail
| Address | 98 Main St Ste 300 |
|---|---|
| City | Southington |
| State | Connecticut (CT) |
| Post Code | 64892500 |
| Phone Number | 2036945580 |
| Fax Number | 8606200446 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Rs0010X |
|
Definition: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and exp |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4260022 | CT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Midstate Medical Group, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Midstate Medical Group, Pc has been assigned the NPI (National Provider Identifier) 1427089598. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Midstate Medical Group, Pc is located?
The Midstate Medical Group, Pc is situated at the following address: 98 Main St Ste 300, Southington, CT, 64892500.
What is Midstate Medical Group, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Midstate Medical Group, Pc is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Rs0010X.
On what date did the Centers for Medicare & Medicaid Services issue the 1427089598 to Midstate Medical Group, Pc?
The Midstate Medical Group, Pc received its 1427089598 assignment from the Centers for Medicare & Medicaid Services on 2006-07-06.
As of what date were the details pertaining to Midstate Medical Group, Pc last refreshed?
The information related to the Midstate Medical Group, Pc, including its address, specialty, and other relevant details, was last updated on 2012-08-24.
NPI Number: 1275536294
Address: 2288 Auburn Blvd, Sacramento, CA
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI