Provider Type Icon

CONNECTICUT ORTHOPAEDIC SPECIALISTS PC NPI 1700207198


NPI Information

NPI: 1700207198
Provider Name: CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC

Other Name: CONNECTICUT ORTHOPAEDICS

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 07D2246142

Address:
12 BOKUM RD
ESSEX, CT
ZIP 06426
Phone: (860) 767-9053
Get Directions

CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC is an orthopaedic surgery in Essex, 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. CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC NPI is 1700207198. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Connecticut Orthopaedics.

The provider's business location address is:

12 BOKUM RD
ESSEX, CT
ZIP 06426-500
Phone: (860) 767-9053
Fax: (860) 767-1146

The provider's authorized official is Susan Bader .
The authorized official title is Ceo and has the following contact phone number (203) 407-3577.

The CLIA number assigned to this NPI record is 07D2246142 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2014 and was last updated on 10/24/2022.


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
1207XS0106XOrthopaedic SurgeryHand SurgeryNo
2207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
3207XX0005XOrthopaedic SurgerySports MedicineNo
4213E00000XPodiatristNo
5213ES0103XPodiatristFoot & Ankle SurgeryNo
6213ES0131XPodiatristFoot SurgeryNo
7332B00000XDurable Medical Equipment & Medical SuppliesNo
8335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierNo
9363A00000XPhysician AssistantNo
10363AM0700XPhysician AssistantMedicalNo
11363AS0400XPhysician AssistantSurgicalNo
12207X00000XOrthopaedic SurgeryYes

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: 4/28/2024

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.