STAMFORD HEALTH MEDICAL GROUP, INC. – NPI #1154633980
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

STAMFORD HEALTH MEDICAL GROUP, INC. is a provider located in STAMFORD, CT. NPPES has assigned the NPI number 1154633980 to STAMFORD HEALTH MEDICAL GROUP, INC. on July 09, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Jun 29, 2022. 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 STAMFORD HEALTH MEDICAL GROUP, INC. below.

NPI Profile for
STAMFORD HEALTH MEDICAL GROUP, INC.

NPI Number
1154633980
Enumeration Date

(about 16 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
STAMFORD HEALTH MEDICAL GROUP, INC.
Primary location
ONE OMEGA DRIVE
BUILDING 3, 2ND FLOOR
STAMFORD, CT 06907
Phone: (203) 276-7447 Fax: (203) 276-4350
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RODRIGO ACOSTA
PRESIDENT
Phone: (203) 977-2566
Updated
Certification Date
Jun 29, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

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.