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CONNECTICUT SURGICAL GROUP PC NPI 1326048984


NPI Information

NPI: 1326048984
Provider Name: CONNECTICUT SURGICAL GROUP PC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
17 TALCOTT NOTCH RD
FARMINGTON, CT
ZIP 06032
Phone: (860) 246-2071
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CONNECTICUT SURGICAL GROUP PC is a surgery in Farmington, CT. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. CONNECTICUT SURGICAL GROUP PC NPI is 1326048984. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17 TALCOTT NOTCH RD
FARMINGTON, CT
ZIP 06032-818
Phone: (860) 246-2071
Fax: (860) 524-2650

The provider's authorized official is Douglas C Mckell .
The authorized official title is Chief Administrative Officer and has the following contact phone number (860) 524-4326.

The enumeration date for this NPI number is 7/26/2005 and was last updated on 8/11/2010.


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
1208200000XPlastic SurgeryNo
22082S0105XPlastic SurgerySurgery of the HandNo
32086S0105XSurgerySurgery of the HandNo
42086S0122XSurgeryPlastic and Reconstructive SurgeryNo
52086S0129XSurgeryVascular SurgeryNo
62086X0206XSurgerySurgical OncologyNo
7208800000XUrologyNo
8208C00000XColon & Rectal SurgeryNo
9208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
102085R0202XRadiologyDiagnostic RadiologyNo
112085U0001XRadiologyDiagnostic UltrasoundNo
12213E00000XPodiatristNo
13213ES0103XPodiatristFoot & Ankle SurgeryNo
14364SM0705XClinical Nurse SpecialistMedical-SurgicalNo
15208600000XSurgery=========CONNECTICUTYes

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
1004201034MEDICAIDCONNECTICUT
2004169711OTHERCONNECTICUTDPM# MEDICAID
3004139350MEDICAIDCONNECTICUT
41028630001MEDICARE NSCCONNECTICUT
50000S02059OTHERCONNECTICUTCSMS-IPA
6C02779MEDICARE PINCONNECTICUT
750CONNSURCT01OTHERANTHEM BCBS
89781188MEDICAIDMASSACHUSETTS
991416185 00MEDICAIDFLORIDA
1001926310MEDICAIDNEW YORK
11C02779MEDICARE ID-TYPE UNSPECIFIED
1287090OTHERCONNECTICUTAETNA
13G384943OTHERCONNECTICUTOXFORD
14C01687MEDICARE ID-TYPE UNSPECIFIED

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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