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COASTAL ORTHOPAEDICS PC NPI 1669471371


NPI Information

NPI: 1669471371
Provider Name: COASTAL ORTHOPAEDICS, PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 07D2014162

Address:
761 MAIN AVE
SUITE 115
NORWALK, CT
ZIP 06851
Phone: (203) 845-2200
Get Directions

COASTAL ORTHOPAEDICS, PC is an orthopaedic surgery in Norwalk, 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 1669471371. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

761 MAIN AVE
SUITE 115
NORWALK, CT
ZIP 06851-080
Phone: (203) 845-2200
Fax: (203) 847-1940

The provider's authorized official is Richard Lyon .
The authorized official title is Executive Director and has the following contact phone number (203) 845-2069.

The CLIA number assigned to this NPI record is 07D2014162 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2005 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0106XOrthopaedic SurgeryHand SurgeryNo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
3207XX0005XOrthopaedic SurgerySports MedicineNo
4208VP0000XPain MedicinePain MedicineNo
5207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
6207X00000XOrthopaedic 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10378520001MEDICARE NSCCONNECTICUT
2C02816MEDICARE PINCONNECTICUT

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: 5/5/2024

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