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SILVER BIRCH MD LLC
NPI 1861208217
Family Medicine in Enfield, CT

Active since December 09, 2024CLIA 07D2315865 · Waiver
15 PALOMBA DR, ENFIELD, CT 06082(860) 951-2198 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Silver Birch Md Llc NPPES

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

SILVER BIRCH MD LLC (NPI 1861208217) is a healthcare organization registered as a family medicine in Enfield, Connecticut and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Ian Sterling Tucker, Owner/physician Owner, as its authorized official.

NPPES Registry Identity

NPI1861208217
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSILVER BIRCH MD LLC
Location Address15 PALOMBA DREnfield, CT 06082-3888
Mailing Address71 W Stafford Rd Ste 4aStafford Springs, CT 06076-1069
Phone(860) 951-2198
Organization SubpartNo
Authorized OfficialIan Sterling TuckerOwner/physician Owner · (860) 951-2198
Enumeration DateDecember 9, 2024
NPPES CertifiedDecember 9, 2024
✔ NPI 1861208217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
15 PALOMBA DR, Enfield, CT 06082
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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

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 07D2315865

Silver Birch MD LLC · Enfield, CT
Active · expires Dec 19, 2026
CLIA Number07D2315865
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorIan S. Tucker
Laboratory Phone(860) 745-0030
Laboratory LocationSilver Birch MD LLC15 Palomba Drive Suite 5, Enfield, CT 06082
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

VIRGINIA P RIGGS M.D.
Legal Medicine
15 PALOMBA DR
ENFIELD, CT 06082
Capitol Planning Region (860) 741-0764
EYE OF HORUS PHARMACEUTICAL SERVICES,LLC
Pharmacy (Community/Retail Pharmacy)
15 PALOMBA DR
ENFIELD, CT 06082
Capitol Planning Region (860) 745-0183
INTERANAL MEDICINE AND PEDIATRIC ASSOCIATES LLC
Internal Medicine
15 PALOMBA DR, SUITE 13
ENFIELD, CT 06082
Capitol Planning Region (860) 749-2251
EMAN ELSAYED
Pharmacist
15 PALOMBA DR
ENFIELD, CT 06082
Capitol Planning Region (860) 745-0183
ASHRAF MOUSTAFA
Pharmacist
15 PALOMBA DR
ENFIELD, CT 06082
Capitol Planning Region (860) 745-0183
DR. TIMOTHY ALAN FIGNAR MD
Family Medicine
15 PALOMBA DR, SUITE 5
ENFIELD, CT 06082
Capitol Planning Region (860) 745-1623
ALFREDO A ARBULU M.D.
Surgery
15 PALOMBA DR
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5586
FIGNAR FAMILY PRACTICE, LLC
Family Medicine
15 PALOMBA DR, SUITE 5
ENFIELD, CT 06082
Capitol Planning Region (860) 745-1623

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 Silver Birch MD LLC's NPI number?

The NPI number for Silver Birch MD LLC is 1861208217. It was assigned to this organization in the NPPES registry on December 9, 2024.

Where is Silver Birch MD LLC located?

Silver Birch MD LLC is located at 15 Palomba Dr, Enfield, CT 06082. The listed phone number is (860) 951-2198.

What is Silver Birch MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Silver Birch MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2315865) is associated with this NPI, valid through December 19, 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 Silver Birch MD LLC was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.