Provider Type Icon

EASTERN CONNECTICUT FOOT SPECIALISTS P. C. NPI 1689873887


NPI Information

NPI: 1689873887
Provider Name: EASTERN CONNECTICUT FOOT SPECIALISTS, P. C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
11 WAWECUS ST STE 2
NORWICH, CT
ZIP 06360
Phone: (860) 887-3538
Get Directions

EASTERN CONNECTICUT FOOT SPECIALISTS, P. C. is a foot and ankle surgery podiatrist in Norwich, CT. EASTERN CONNECTICUT FOOT SPECIALISTS, P. C. NPI is 1689873887. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11 WAWECUS ST STE 2
NORWICH, CT
ZIP 06360-121
Phone: (860) 887-3538
Fax: (860) 887-1394

The provider's authorized official is Edward M Tarka .
The authorized official title is President and has the following contact phone number (860) 887-3538.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 3/17/2018.


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 Surgery000570CONNECTICUTYes

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
1CE0564OTHERCONNECTICUTRAIL ROAD MEDICARE GROUP PTAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.