MAIN MEDICAL-MYSTIC, LLC NPI 1003001850
Internal Medicine in Mystic, CT
About MAIN MEDICAL-MYSTIC, LLC
Main Medical-mystic, Llc is an internist established in Mystic, Connecticut operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1003001850 assigned on September 2007. The practitioner's primary taxonomy code is 207R00000X with license number 031865 (CT). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Roy Martin Main M.d. (Owner/physician)
| NPI | 1003001850 |
| Provider Name | MAIN MEDICAL-MYSTIC, LLC |
| Location Address | 23 CLARA DR SUITE 201 MYSTIC, CT 06355 |
| Location Phone | (860) 536-1666 |
| Mailing Address | 23 CLARA DR SUITE 201 MYSTIC, CT 06355 |
| Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 09-13-2007 |
| Last Update Date | 09-13-2007 |
| Code Navigator |
An internist like Main Medical-mystic, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Business Address
23 CLARA DR
SUITE 201
MYSTIC, CT
ZIP 06355
Phone: (860) 536-1666
Fax: (860) 536-9770
Mailing Address
23 CLARA DR
SUITE 201
MYSTIC, CT
ZIP 06355
Phone: (860) 536-1666
Fax: (860) 536-9770
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.
| Taxonomy Code | 207R00000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 031865 |
| License State | CT |
| Taxonomy Description | 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. |
Location Map
Group Taxonomy
193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|
| C02861 | MEDICARE PIN (08) | CT |
| B30093 | MEDICARE UPIN (02) | CT |
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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 1 | 8 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 2 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 2 + 8 + 1 + 0 + 24 = 40 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1003001850 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Provider Reviews
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Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720065154 | BRUCE A. BERLOW M.D. Individual | Specialist | 23 CLARA DR SUITE 204 MYSTIC, CT 06355 (860) 536-2995 |
| 1265656946 | JENNIFER FELICELLI PA-C Individual | Physician Assistant | 23 CLARA DR MYSTIC, CT 06355 (860) 536-1666 |
| 1013195064 | MRS. LAURA ANN WHITE OTRL Individual | Occupational Therapist | 23 CLARA DR VISIONS SIGHT AND LEARNING CENTER MYSTIC, CT 06355 (860) 572-4805 |
| 1528236932 | MRS. GABRIELLE EDEN PIERCE PA-C Individual | Physician Assistant | 23 CLARA DR SUITE 201 MYSTIC, CT 06355 (860) 536-1666 |
| 1467659227 | DR. ADRIENNE LYNNE MAROLD PARAD M.D. Individual | Family Medicine | 23 CLARA DR SUITE 203 MYSTIC, CT 06355 (860) 464-2028 |
| 1558406066 | DANIEL LEROY WAGGONER M.D. Individual | Allergy & Immunology | 23 CLARA DR SUITE 204 MYSTIC, CT 06355 (860) 536-2995 |
| 1811109259 | COASTAL CHIROPRACTIC & FAMILY WELLNESS CENTRE Organization | Chiropractor (Rehabilitation) | 23 CLARA DR SUITE 105 MYSTIC, CT 06355 (860) 572-7711 |
| 1891417242 | DANIELLE PETROWSKI Individual | Nurse Practitioner (Family) | 23 CLARA DR MYSTIC, CT 06355 (860) 572-5782 |
| 1437611696 | DR. SUNGSIL CHO MD Individual | Family Medicine | 23 CLARA DR MYSTIC, CT 06355 (860) 572-5782 |
Frequently Asked Questions
What is MAIN MEDICAL-MYSTIC, LLC NPI number?
The NPI number assigned to this healthcare provider is 1003001850, enumerated in the NPI registry as an "organization" on September 13, 2007
Where is the provider located?
The provider is located at 23 Clara Dr Suite 201 Mystic, Ct 06355 and the phone number is (860) 536-1666
What is the provider specialty code?
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
What insurance does MAIN MEDICAL-MYSTIC, LLC accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
How do I update my NPI information?
This NPI record was last updated on September 13, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.