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COASTAL ORTHOPAEDICS PC NPI 1780021725


NPI Information

NPI: 1780021725
Provider Name: COASTAL ORTHOPAEDICS, PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
30 EAST AVE
NEW CANAAN, CT
ZIP 06840
Phone: (203) 845-2200
Get Directions

COASTAL ORTHOPAEDICS, PC is an orthopaedic surgery in New Canaan, CT. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. COASTAL ORTHOPAEDICS, PC NPI is 1780021725. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

30 EAST AVE
NEW CANAAN, CT
ZIP 06840-516
Phone: (203) 845-2200
Fax: (203) 847-1940

The provider's authorized official is Richard C Lyon .
The authorized official title is Executive Director and has the following contact phone number (203) 845-2200.

The enumeration date for this NPI number is 5/31/2013 and was last updated on 9/15/2014.


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
1207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryCONNECTICUTNo
2207XS0106XOrthopaedic SurgeryHand SurgeryCONNECTICUTNo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineCONNECTICUTNo
4207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryCONNECTICUTNo
5207XX0005XOrthopaedic SurgerySports MedicineCONNECTICUTNo
6207XX0801XOrthopaedic SurgeryOrthopaedic TraumaCONNECTICUTNo
7208VP0014XPain MedicineInterventional Pain MedicineCONNECTICUTNo
8207X00000XOrthopaedic SurgeryCONNECTICUTYes

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
10378520008MEDICARE NSC
2C02816MEDICARE PIN

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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