CONNECTICUT SURGICAL GROUP PC NPI 1225011927

NPI Information

  • NPI: 1225011927
  • Provider Name: CONNECTICUT SURGICAL GROUP, PC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • CLIA Number: 07D2262314
  • Address: 1260 SILAS DEANE HWY
    WETHERSFIELD, CT
    ZIP 06109
  • Phone: (860) 547-0614

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NPI Details

CONNECTICUT SURGICAL GROUP, PC is a durable medical equipment medical supplies in Wethersfield, 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 1225011927. The provider is registered as an organization entity type.

The provider's business location address is:

1260 SILAS DEANE HWY
WETHERSFIELD, CT
ZIP 06109-362
Phone: (860) 547-0614
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 CLIA number assigned to this NPI record is 07D2262314 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2005 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C02779MEDICARE PINCONNECTICUT
250CONNSURCT01OTHERCONNECTICUTANTHEM BCBS
3C01687MEDICARE ID-TYPE UNSPECIFIED
4004139350MEDICAIDCONNECTICUT
51028630009MEDICARE 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: 11/21/2025

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