Provider Type Icon

CONNECTICUT FOOT CARE CENTERS LLC NPI 1043492903


NPI Information

NPI: 1043492903
Provider Name: CONNECTICUT FOOT CARE CENTERS LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 07D0092363

Address:
51 BURLINGTON AVE
BRISTOL, CT
ZIP 06010
Phone: (860) 582-0747
Get Directions

CONNECTICUT FOOT CARE CENTERS LLC is a podiatrist in Bristol, 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. CONNECTICUT FOOT CARE CENTERS LLC NPI is 1043492903. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

51 BURLINGTON AVE
BRISTOL, CT
ZIP 06010-204
Phone: (860) 582-0747
Fax: (860) 585-8124

The provider's authorized official is Jeffrey Steven Kahn .
The authorized official title is Managing Partner and has the following contact phone number (860) 563-1200.

The CLIA number assigned to this NPI record is 07D0092363 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 5/1/2008.


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
1213E00000XPodiatristYes

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
1C01816OTHERCONNECTICUTMEDICARE GROUP PTAN
2C01817OTHERCONNECTICUTMEDICARE GROUP PTAN
34997100003MEDICARE NSCCONNECTICUT

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.