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OLD OAK PRIMARY CARE
NPI 1033697859
Internal Medicine in Southbury, CT

Active since August 02, 2018
250 MAIN ST S UNIT G, SOUTHBURY, CT 06488(203) 533-9436(989) 419-3050 Get Directions Write a Review

NPPES record last updated: December 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 21, 2018, Oct 11, 2018, Aug 2, 2018 (3 updates tracked since 2018).

About Old Oak Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD OAK PRIMARY CARE (NPI 1033697859) is a healthcare organization registered as an internal medicine in Southbury, Connecticut and active in the NPI registry since August 2018. The organization lists Christofer John Fort, President, as its authorized official.

NPPES Registry Identity

NPI1033697859
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOLD OAK PRIMARY CARE, P.C.
Location Address250 MAIN ST S UNIT GSouthbury, CT 06488-2263
Mailing Address250 Main St S Unit GSouthbury, CT 06488-2263 · (203) 533-9436 · Fax (989) 419-3050
Phone(203) 533-9436
Fax(989) 419-3050
Organization SubpartNo
Authorized OfficialChristofer John FortPresident · (203) 533-9436
Enumeration DateAugust 2, 2018
Last NPPES UpdateDecember 21, 20183 updates tracked since enumeration
✔ NPI 1033697859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 056411
Definition
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.
250 MAIN ST S UNIT G, Southbury, CT 06488
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Other Names 1

Doing Business AsOld Oak Primary Care

Other Identifiers 1

Medicaid008073500CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Old Oak Primary Care, P.C.'s NPI number?

The NPI number for Old Oak Primary Care, P.C. is 1033697859. It was assigned to this organization in the NPPES registry on August 2, 2018. The provider is doing business as Old Oak Primary Care.

Where is Old Oak Primary Care, P.C. located?

Old Oak Primary Care, P.C. is located at 250 Main St S Unit G, Southbury, CT 06488. The listed phone number is (203) 533-9436.

What is Old Oak Primary Care, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Old Oak Primary Care, P.C. was last updated on December 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.