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HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC NPI 1023584216


NPI Information

NPI: 1023584216
Provider Name: HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
85 SEYMOUR ST STE 415
HARTFORD, CT
ZIP 06106
Phone: (860) 246-2071
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HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC is a surgery in Hartford, CT. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC NPI is 1023584216. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

85 SEYMOUR ST STE 415
HARTFORD, CT
ZIP 06106-523
Phone: (860) 246-2071

The provider's authorized official is Mark Vye .
The authorized official title is Vp Administration and has the following contact phone number (860) 972-7858.

The enumeration date for this NPI number is 10/16/2018 and was last updated on 10/16/2018.


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
1204F00000XTransplant SurgeryNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207RI0200XInternal MedicineInfectious DiseaseNo
5207T00000XNeurological SurgeryNo
62084N0400XPsychiatry & NeurologyNeurologyNo
72086S0122XSurgeryPlastic and Reconstructive SurgeryNo
82086S0129XSurgeryVascular SurgeryNo
9208800000XUrologyNo
10208C00000XColon & Rectal SurgeryNo
11208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
12213ES0103XPodiatristFoot & Ankle SurgeryNo
13363AS0400XPhysician AssistantSurgicalNo
14363L00000XNurse PractitionerNo
15208600000XSurgeryYes

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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