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ORTHOPAEDIC SPECIALTY GROUP P.C. NPI 1558313767


NPI Information

NPI: 1558313767
Provider Name: ORTHOPAEDIC SPECIALTY GROUP, P.C.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
305 BLACK ROCK TPKE
FAIRFIELD, CT
ZIP 06825
Phone: (203) 337-2600
Get Directions

ORTHOPAEDIC SPECIALTY GROUP, P.C. is an orthopaedic surgery in Fairfield, 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. ORTHOPAEDIC SPECIALTY GROUP, P.C. NPI is 1558313767. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

305 BLACK ROCK TPKE
FAIRFIELD, CT
ZIP 06825-508
Phone: (203) 337-2600
Fax: (203) 337-2611

The provider's authorized official is Dante Brittis .
The authorized official title is Managing Employee and has the following contact phone number (203) 337-2600.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 1/24/2019.


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
1207T00000XNeurological SurgeryNo
2207X00000XOrthopaedic SurgeryYes
3207XS0106XOrthopaedic SurgeryHand SurgeryNo
4208100000XPhysical Medicine & RehabilitationNo
52081P2900XPhysical Medicine & RehabilitationPain MedicineNo
62085R0202XRadiologyDiagnostic RadiologyNo

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
1004000881MEDICAIDCONNECTICUT

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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