Provider Demographics
NPI:1275560856
Name:SHARON EMERGENCY MEDICINE PC
Entity Type:Organization
Organization Name:SHARON EMERGENCY MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-364-4141
Mailing Address - Street 1:PO BOX 753
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06039
Mailing Address - Country:US
Mailing Address - Phone:866-898-7138
Mailing Address - Fax:
Practice Address - Street 1:50 HOSPITAL HILL DRIVE
Practice Address - Street 2:ER DEPARTMENT
Practice Address - City:SHARON
Practice Address - State:CT
Practice Address - Zip Code:06069
Practice Address - Country:US
Practice Address - Phone:800-795-5820
Practice Address - Fax:616-975-9728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTA3231004OtherOXFORD HEALTH INSURANCE
CT0114103630OtherCONNECTICARE
CT500HBE202CT01OtherBCBS OF CT
CTC03050Medicare PIN
CTDB0244Medicare PIN