MIDLESEX HOSPITAL SURGICAL ALLIANCE
NPI 1356717482
Surgery in Westbrook, CT

Active since August 12, 2015CLIA 07D0950376 · Waiver
5 PEQUOT PARK RD, SUITE 203, WESTBROOK, CT 06498(860) 358-3909(203) 399-1796 Get Directions Write a Review

NPPES record last updated: September 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2017, Jan 20, 2017 (2 updates tracked since 2017).

About Midlesex Hospital Surgical Alliance NPPES

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

MIDLESEX HOSPITAL SURGICAL ALLIANCE (NPI 1356717482) is a healthcare organization registered as a surgery in Westbrook, Connecticut and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through August 24, 2026 and lists Susan Martin, Vice President Finance & Treasurer, as its authorized official.

NPPES Registry Identity

NPI1356717482
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMHS PRIMARY CARE INC.
Location Address5 PEQUOT PARK RD, SUITE 203Westbrook, CT 06498-2856
Mailing Address28 Crescent StMiddletown, CT 06457-3654 · (860) 358-4820 · Fax (860) 358-8661
Fax(203) 399-1796
Organization SubpartYes
Authorized OfficialSusan MartinVice President Finance & Treasurer · (860) 358-6140
Enumeration DateAugust 12, 2015
Last NPPES UpdateSeptember 11, 20172 updates tracked since enumeration
NPI 1356717482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
5 PEQUOT PARK RD, Westbrook, CT 06498

Other Names 1

Doing Business AsMidlesex Hospital Surgical Alliance

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0950376

Mhs Primary Care Westbrook · Westbrook, CT
Active · expires Aug 24, 2026
CLIA Number07D0950376
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2024
Certificate Expiration DateAugust 24, 2026
Laboratory DirectorShane T. Ridge
Laboratory Phone(860) 664-3553
Laboratory LocationMhs Primary Care Westbrook250 Flat Rock Pl, Westbrook, CT 06498
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

Durable Medical Equipment & Medical Supplies
5 PEQUOT PARK RD, SUITE 201
WESTBROOK, CT 06498
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
5 PEQUOT PARK RD, SUITE 201A
WESTBROOK, CT 06498
Orthopaedic Surgery
5 PEQUOT PARK RD, SUITE 202
WESTBROOK, CT 06498
Physical Therapist
5 PEQUOT PARK RD, SUITE 303
WESTBROOK, CT 06498
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
5 PEQUOT PARK RD, SUITE 201A
WESTBROOK, CT 06498
Physical Therapist
5 PEQUOT PARK RD, SUITE 102
WESTBROOK, CT 06498
Internal Medicine
5 PEQUOT PARK RD, SUITE 301
WESTBROOK, CT 06498
Physical Therapist
5 PEQUOT PARK RD, LAKEBROOK MEDICAL CENTER SUITE 303
WESTBROOK, CT 06498

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 Mhs Primary Care Inc.'s NPI number?

The NPI number for Mhs Primary Care Inc. is 1356717482. It was assigned to this organization in the NPPES registry on August 12, 2015. The provider is doing business as Midlesex Hospital Surgical Alliance.

Where is Mhs Primary Care Inc. located?

Mhs Primary Care Inc. is located at 5 Pequot Park Rd Suite 203, Westbrook, CT 06498. The listed phone number is (860) 358-3909.

What is Mhs Primary Care Inc.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Mhs Primary Care Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0950376) is associated with this NPI, valid through August 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mhs Primary Care Inc. was last updated on September 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.