POMFRET STREET FAMILY MEDICINE
NPI 1194966556
Family Medicine in Putnam, CT

NPI Status: Active since March 16, 2009

Contact Information

235 POMFRET ST
PUTNAM, CT
ZIP 06260
Phone: (860) 928-0493
Fax: (860) 928-9255

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  • Organization
  • Family Medicine

About POMFRET STREET FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Pomfret Street Family Medicine, a primary care provider established in Putnam, Connecticut operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1194966556 assigned on March 2009. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Pomfret Street Family Medicine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Pomfret Street Family Medicine. The authorized official of this NPI record is Robert E Smanik (Ceo)

NPI
1194966556
Provider Legal Name
PHYSICIAN SERVICES OF NORTHEAST CONNECTICUT, LLC
Other Organization Name
POMFRET STREET FAMILY MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
235 POMFRET ST PUTNAM, CT 06260
Location Phone
(860) 928-0493
Location Fax
(860) 928-9255
Mailing Address
PO BOX 8469 BELFAST, ME 04915
Mailing Phone
(860) 928-6541
Mailing Fax
(860) 928-9255
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-16-2009
Last Update Date
03-16-2009
Code Navigator

A primary care provider (PCP) like Pomfret Street Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT E SMANIK

Authorized Official Title
CEO
Authorized Official Phone
(860) 928-6541

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
D100000012MEDICARE PIN (08)CT 
1891962221MEDICAID (05)CT 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194966556
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2118418612510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 8 + 6 + 1 + 2 + 5 + 1 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1194966556 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235159278 CHARLES L WRESCHNER MD
Individual
Family Medicine235 POMFRET ST
PUTNAM, CT 06260
(860) 928-0493
1255536462CHARLES L WRESCHNER MD PC
Organization
Family Medicine235 POMFRET ST
PUTNAM, CT 06260
(860) 928-0493
1245380575 KAREN ST JEAN APRN
Individual
Nurse Practitioner (Adult Health)235 POMFRET ST
PUTNAM, CT 06260
(860) 928-0494

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194966556, enumerated in the NPI registry as an "organization" on March 16, 2009

The provider is located at 235 Pomfret St Putnam, Ct 06260 and the phone number is (860) 928-0493

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 16, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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