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PODIATRY ASSOCIATES OF WATERBURY PC NPI 1891970331


NPI Information

NPI: 1891970331
Provider Name: PODIATRY ASSOCIATES OF WATERBURY PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
80 PHOENIX AVE
SUITE 204
WATERBURY, CT
ZIP 06702
Phone: (203) 754-4247
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PODIATRY ASSOCIATES OF WATERBURY PC is a podiatrist in Waterbury, CT. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. PODIATRY ASSOCIATES OF WATERBURY PC NPI is 1891970331. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

80 PHOENIX AVE
SUITE 204
WATERBURY, CT
ZIP 06702-418
Phone: (203) 754-4247
Fax: (203) 757-8772

The provider's authorized official is Thomas W Winters .
The authorized official title is President/owner and has the following contact phone number (203) 754-4247.

The enumeration date for this NPI number is 1/3/2008 and was last updated on 1/14/2011.


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
1213E00000XPodiatrist000227CONNECTICUTYes

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
1355659OTHERWELLCARE
2C03866MEDICARE PIN
3030000227CT01OTHERANTHEM BLUE CROSS
40051391OTHERAETNA
5NHS333OTHEROXFORD HEALTH PLANS
60809680001MEDICARE NSCCONNECTICUT
7OV7691OTHERHEALTHNET
8706363OTHERCONNECTICARE
94086022MEDICAIDCONNECTICUT

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

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