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CONNECTICUT SURGICAL GROUP PC NPI 1053395400


NPI Information

NPI: 1053395400
Provider Name: CONNECTICUT SURGICAL GROUP, PC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
85 SEYMOUR ST
STE 409
HARTFORD, CT
ZIP 06106
Phone: (860) 547-0616
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CONNECTICUT SURGICAL GROUP, PC is a durable medical equipment medical supplies in Hartford, CT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CONNECTICUT SURGICAL GROUP, PC NPI is 1053395400. 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 409
HARTFORD, CT
ZIP 06106
Phone: (860) 547-0616
Fax: (860) 524-2655

The provider's authorized official is Douglas C Mckell .
The authorized official title is Chief Administrative Officer and has the following contact phone number (860) 524-4326.

The enumeration date for this NPI number is 11/30/2005 and was last updated on 8/11/2010.


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
1213E00000XPodiatristNo
2213ES0103XPodiatristFoot & Ankle SurgeryNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

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
150CONNSURCT01OTHERCONNECTICUTANTHEM BCBS
287090OTHERCONNECTICUTAETNA
3C01687MEDICARE ID-TYPE UNSPECIFIED
4004169711MEDICAIDCONNECTICUT
59781188MEDICAIDMASSACHUSETTS
60000S02059OTHERCONNECTICUTHEALTH NET VENDOR #
71028630001MEDICARE NSCCONNECTICUT
8C02779MEDICARE PINCONNECTICUT
9004201034MEDICAIDCONNECTICUT
1001926310MEDICAIDNEW YORK

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.