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BLOOMFIELD FOOT SPECIALISTSLLC NPI 1235281288


NPI Information

NPI: 1235281288
Provider Name: BLOOMFIELD FOOT SPECIALISTS,LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
705 BLOOMFIELD AVE STE 201
BLOOMFIELD, CT
ZIP 06002
Phone: (860) 243-2951
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BLOOMFIELD FOOT SPECIALISTS,LLC is a foot and ankle surgery podiatrist in Bloomfield, CT. BLOOMFIELD FOOT SPECIALISTS,LLC NPI is 1235281288. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

705 BLOOMFIELD AVE STE 201
BLOOMFIELD, CT
ZIP 06002-480
Phone: (860) 243-2951
Fax: (860) 243-5790

The provider's authorized official is Lynn M Leblanc .
The authorized official title is Podiatirst and has the following contact phone number (860) 243-1951.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 6/17/2021.


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
1213ES0103XPodiatristFoot & Ankle SurgeryYes
2332B00000XDurable Medical Equipment & Medical Supplies000530CONNECTICUTNo

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
1004235653MEDICAIDCONNECTICUT
22V4184OTHERCONNECTICUTHEALTH NET PROVIDER ID
33204678OTHERCONNECTICUTAETNA PROVIDER ID
40170716OTHERCONNECTICUTCIGNA PROVIDER ID
51093710972OTHERCONNECTICUTNPI
61235281288OTHERCONNECTICUTNPI
7480000912OTHERCONNECTICUTMEDICARE PROVIDER ID
8748411OTHERCONNECTICUTCONNECTICARE PROVIDER ID
9HAS386OTHERCONNECTICUTOXFORD PROVIDER ID
10298258OTHERCONNECTICUTWELLCARE PROVIDER ID
111162763OTHERCONNECTICUTUNITED HEALTH PROVIDER ID
12PL0161OTHERCONNECTICUTMEDIBLUE PROVIDER ID
13030000530CT04OTHERCONNECTICUTANTHEM PROVIDER ID

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: 11/14/2023
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