MEDICAL GROUP
NPI 1144677568
Family Medicine in Manchester, CT
NPI Status: Active since May 16, 2016
Contact Information
71 HAYNES ST
MILLER BLDG., FLOOR G
MANCHESTER, CT
ZIP 06040
Phone: (860) 533-2981
Fax: (860) 533-2975
- Organization
- Family Medicine
- CLIA Number: 07D0691953
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Medical Group, a primary care provider established in Manchester, Connecticut operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1144677568 assigned on May 2016. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Medical Group. The authorized official of this NPI record is Robert Jon Elders (Secretary)
- NPI
- 1144677568
- Provider Legal Name
- PROSPECT CT MEDICAL FOUNDATION, INC.
- Other Organization Name
- MEDICAL GROUP
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 71 HAYNES ST MILLER BLDG., FLOOR G MANCHESTER, CT 06040
- Location Phone
- (860) 533-2981
- Location Fax
- (860) 533-2975
- Mailing Address
- 71 HAYNES ST MILLER BLDG., FLOOR G MANCHESTER, CT 06040
- Mailing Phone
- (860) 533-2981
- Mailing Fax
- (860) 533-2975
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-16-2016
- Last Update Date
- 03-15-2021
- Code Navigator
A primary care provider (PCP) like Medical Group 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
Secondary Locations
- 777 Echo Lake Rd Unit A
Watertown, CT 06795
(860) 274-5497
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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 2 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
| 3 | 163W00000X | Nursing Service Providers | Registered Nurse | |
| 4 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 207VX0201X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 8 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 9 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 10 | 2086S0129X | Allopathic & Osteopathic Physicians | Surgery | |
| 11 | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 12 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | |
| 13 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 14 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D0691953
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- JAMES R. DORAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1144677568, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MANCHESTER, CT 06040
MANCHESTER, CT 06040
MANCHESTER, CT 06040
MANCHESTER, CT 06040
MANCHESTER, CT 06040
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144677568, enumerated as an "organization" on May 16, 2016.
The provider is located at 71 HAYNES ST MILLER BLDG., FLOOR G MANCHESTER, CT 06040 and the phone number is (860) 533-2981.
Family Medicine with taxonomy code 207Q00000X.
