WESTSIDE MEDICAL GROUP
NPI 1083724967
Internal Medicine in Waterbury, CT

Active since August 30, 2006
714 CHASE PARKWAY, SUITE 6, WATERBURY, CT 06708(203) 755-4577(203) 756-3628 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Westside Medical Group NPPES

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

WESTSIDE MEDICAL GROUP (NPI 1083724967) is a healthcare organization registered as an internal medicine in Waterbury, Connecticut and active in the NPI registry since August 2006. The organization lists Mark Lawrence Kraus, President, as its authorized official.

NPPES Registry Identity

NPI1083724967
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWESTSIDE MEDICAL GROUP
Location Address714 CHASE PARKWAY, SUITE 6Waterbury, CT 06708-3939
Mailing Address714 Chase Parkway, Suite 6Waterbury, CT 06708-3939 · (203) 755-4577 · Fax (203) 756-3628
Fax(203) 756-3628
Organization SubpartNo
Authorized OfficialMark Lawrence KrausPresident · (203) 755-4577
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 23, 2012
NPI 1083724967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
714 CHASE PARKWAY, Waterbury, CT 06708

Other Identifiers 3

Medicaid004085800CT
Other50WESTSIDECT01Bcbs
Medicare ID-Type UnspecifiedC00200

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
714 CHASE PARKWAY, SUITE 1
WATERBURY, CT 06708
Dentist (Dental Public Health)
714 CHASE PARKWAY
WATERBURY, CT 06708
Internal Medicine
714 CHASE PARKWAY, SUITE 6
WATERBURY, CT 06708

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 Westside Medical Group's NPI number?

The NPI number for Westside Medical Group is 1083724967. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Westside Medical Group located?

Westside Medical Group is located at 714 Chase Parkway Suite 6, Waterbury, CT 06708. The listed phone number is (203) 755-4577.

What is Westside Medical Group'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 Westside Medical Group was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.