East Granby Family Practice LLC
NPI 1154308229ActiveOrganization· Family Medicine· East Granby, CT
Family Medicine in East Granby, Connecticut, registered in NPPES in December 2005. The authorized official on file is Steven R. Dietrich, MD, Partner Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154308229 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 29, 2005 |
| Last updated in NPPES | Jun 26, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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