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 NPI number of this provider is 1003001850 and was 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 15 years ago. Main Medical-mystic, Llc 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 NameMAIN MEDICAL-MYSTIC, LLC
Location Address23 CLARA DR SUITE 201 MYSTIC, CT 06355
Location Phone(860) 536-1666
Mailing Address23 CLARA DR SUITE 201 MYSTIC, CT 06355
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-13-2007
Last Update Date09-13-2007

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..



Primary Taxonomy

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.

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.031865
License StateCT
Taxonomy DescriptionA 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

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

Business Address

23 CLARA DR
SUITE 201
MYSTIC, CT
ZIP 06355
Phone: (860) 536-1666
Fax: (860) 536-9770

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Mailing Address

23 CLARA DR
SUITE 201
MYSTIC, CT
ZIP 06355
Phone: (860) 536-1666
Fax: (860) 536-9770


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official NameDR. ROY MARTIN MAIN M.D.
Authorized Official TitleOWNER/PHYSICIAN
Authorized Official Phone(860) 536-1666

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.

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
C02861MEDICARE PIN (08)CT
B30093MEDICARE 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.
1003001850
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003002810
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.

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
Specialist23 CLARA DR SUITE 204
MYSTIC, CT 06355
(860) 536-2995
1265656946 JENNIFER FELICELLI PA-C
Individual
Physician Assistant23 CLARA DR
MYSTIC, CT 06355
(860) 536-1666
1013195064MRS. LAURA ANN WHITE OTRL
Individual
Occupational Therapist23 CLARA DR VISIONS SIGHT AND LEARNING CENTER
MYSTIC, CT 06355
(860) 572-4805
1528236932MRS. GABRIELLE EDEN PIERCE PA-C
Individual
Physician Assistant23 CLARA DR SUITE 201
MYSTIC, CT 06355
(860) 536-1666
1467659227DR. ADRIENNE LYNNE MAROLD PARAD M.D.
Individual
Family Medicine23 CLARA DR SUITE 203
MYSTIC, CT 06355
(860) 464-2028
1558406066 DANIEL LEROY WAGGONER M.D.
Individual
Allergy & Immunology23 CLARA DR SUITE 204
MYSTIC, CT 06355
(860) 536-2995
1811109259COASTAL CHIROPRACTIC & FAMILY WELLNESS CENTRE
Organization
Chiropractor (Rehabilitation)23 CLARA DR SUITE 105
MYSTIC, CT 06355
(860) 572-7711
1437611696DR. SUNGSIL CHO MD
Individual
Family Medicine23 CLARA DR
MYSTIC, CT 06355
(860) 572-5782
1891417242 DANIELLE PETROWSKI
Individual
Family Medicine23 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, registered as an "organization" on September 13, 2007

Where is MAIN MEDICAL-MYSTIC, LLC located?

The provider is located at 23 Clara Dr Suite 201 Mystic, Ct 06355 and the phone number is (860) 536-1666

What kind of medical provider is MAIN MEDICAL-MYSTIC, LLC?

This medical organization specializes in Internal Medicine

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?

The NPI record of MAIN MEDICAL-MYSTIC, LLC 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 at: [email protected]