MEDICARE: FAMILY MEDICINE OF CANTON, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	038823	CT

General Provider Information

NPI Number	:	1255528840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY MEDICINE OF CANTON, LLC

Provider Business Mailing Address
First Line	:	166 ALBANY TPKE
Second Line	:
City	:	CANTON
State	:	CT
Zip	:	06019-2546
Country	:	US
Telephone Number	:	860-693-2349
Fax Number	:	860-693-2573

Provider Business Practice Location Address
First Line	:	166 ALBANY TPKE
Second Line	:
City	:	CANTON
State	:	CT
Zip	:	06019-2546
Country	:	US
Telephone Number	:	860-693-2349
Fax Number	:	860-693-2573

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	DR. MICHELLE L APIADO
Credential	:	M.D.
Telephone Number	:	860-693-2349

Provider Enumeration Date	:	09/27/2007
Last Update Date	:	09/27/2007

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1487643490 — MS. JENNIFER JOHNSON FREESE ATC
Practice Location Address:

166 ALBANY TPKE
CANTON, CT
06019-2546

Practice Phone: 860-693-8835
Practice Fax:

1689973059 — DR. STEPHEN KARPENKO D.C.
Practice Location Address:

166 ALBANY TPKE , STE 6
CANTON, CT
06019-2546

Practice Phone: 860-693-0255
Practice Fax: 860-693-4250

1689088395 — CENTER FOR NATURAL WELLNESS
Practice Location Address:

166 ALBANY TPKE , SUITE 10
CANTON, CT
06019-2546

Practice Phone: 860-693-0255
Practice Fax: 860-693-4250

1528461647 — MRS. JENNIFER CANNON APRN
Practice Location Address:

166 ALBANY TPKE STE 7
CANTON, CT
06019-2546

Practice Phone: 860-935-6680
Practice Fax:

1841700226 — JAIMIE M MACHADO FNP-C
Practice Location Address:

166 ALBANY TPKE STE 6
CANTON, CT
06019-2546

Practice Phone: 860-831-4151
Practice Fax: 860-413-0848

Directions to “FAMILY MEDICINE OF CANTON, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.