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COASTAL ORTHOPAEDICS PC NPI 1104024728


NPI Information

NPI: 1104024728
Provider Name: COASTAL ORTHOPAEDICS, PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
36 OLD KINGS HWY SOUTH
DARIEN, CT
ZIP 06880
Phone: (203) 845-2995
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COASTAL ORTHOPAEDICS, PC is an orthopaedic surgery in Darien, CT. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. COASTAL ORTHOPAEDICS, PC NPI is 1104024728. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

36 OLD KINGS HWY SOUTH
DARIEN, CT
ZIP 06880
Phone: (203) 845-2995
Fax: (203) 847-1940

The provider's authorized official is Donna Frydrych .
The authorized official title is Executive Assistant and has the following contact phone number (203) 845-2995.

The enumeration date for this NPI number is 7/5/2007 and was last updated on 9/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0106XOrthopaedic SurgeryHand SurgeryNo
2207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryNo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
4207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
5207XX0005XOrthopaedic SurgerySports MedicineNo
6207XX0801XOrthopaedic SurgeryOrthopaedic TraumaNo
72081P2900XPhysical Medicine & RehabilitationPain MedicineNo
8225X00000XOccupational TherapistNo
9225XH1200XOccupational TherapistHandNo
10207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryNo
11207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C02816OTHERCONNECTICUTMEDICARE ID
20378520007MEDICARE NSCCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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