Children'S Medical Group, Llc

LBN: Children'S Medical Group, Llc
Children'S Medical Group, Llc is an health care organization with primary practice located at 299 Washington Ave , Hamden CT 06518-3026. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Children'S Medical Group, Llc can be contacted via phone (203) 288-4288, or through Summers, Craig Paul via phone (203) 288-4288.

Contact Information

Primary practice address
299 Washington Ave Hamden CT 06518-3026
Phone: (203) 288-4288
Fax: (855) 414-4010
Website:
Map and Directions
Authorized official contact:
Name: Summers, Craig Paul M.D., F.A.A.P.
Phone: (203) 288-4288

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1588603997
LBN Legal business name Children'S Medical Group, Llc
DBA Doing business as
Authorized official Summers, Craig Paul M.D., F.A.A.P.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2006
Last updated Apr 30th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588603997 NPPES
Connecticut MEDICAID 004002093
Connecticut MEDICAID 008049477
Connecticut MEDICAID 008075993
Connecticut MEDICAID 004254281

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