INTERNAL MEDICINE GROUP LLC – NPI #1770617367
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

INTERNAL MEDICINE GROUP LLC is a provider located in NORWICH, CT. NPPES has assigned the NPI number 1770617367 to INTERNAL MEDICINE GROUP LLC on March 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTERNAL MEDICINE GROUP LLC below.

NPI Profile for
INTERNAL MEDICINE GROUP LLC

NPI Number
1770617367
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTERNAL MEDICINE GROUP LLC
Primary location
1 TOWNE PARK PLZ
NORWICH, CT 06360-2247
Phone: (860) 887-0010 Fax: (860) 887-0178
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HANNA KACKIELO
OWNER
Phone: (860) 887-0010
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
CT 037461

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.