Provider Type Icon

WATERBURY ORTHOPAEDIC ASSOCIATES P C NPI 1982775276


NPI Information

NPI: 1982775276
Provider Name: WATERBURY ORTHOPAEDIC ASSOCIATES P C
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1211 W MAIN ST
WATERBURY, CT
ZIP 06708
Phone: (203) 755-0163
Get Directions

WATERBURY ORTHOPAEDIC ASSOCIATES P C is an orthopaedic surgery in Waterbury, 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. WATERBURY ORTHOPAEDIC ASSOCIATES P C NPI is 1982775276. The provider is registered as an organization entity type.

The provider's business location address is:

1211 W MAIN ST
WATERBURY, CT
ZIP 06708-106
Phone: (203) 755-0163
Fax: (203) 574-5894

The provider's authorized official is Eric Jon Olson .
The authorized official title is President and has the following contact phone number (203) 755-0163.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 8/2/2012.


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
1332B00000XDurable Medical Equipment & Medical SuppliesCONNECTICUTNo
2335E00000XProsthetic/Orthotic SupplierCONNECTICUTNo
3202C00000XIndependent Medical ExaminerNo
4207XX0005XOrthopaedic SurgerySports MedicineNo
5363AS0400XPhysician AssistantSurgicalNo
6363A00000XPhysician AssistantNo
7207X00000XOrthopaedic SurgeryYes

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
16688420001MEDICARE NSCCONNECTICUT
2004394110MEDICAIDCONNECTICUT
3CO1120MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUTMEDICARE GROUP #

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

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.