Surgical Specialists Pc in Waterbury - Specialist
Surgical Specialists Pc - NPI 1497874945
Surgical Specialists Pc is a Specialist in Waterbury, Connecticut. Surgical Specialists Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Surgical Specialists Pc is 1497874945. The last update date is 2009-11-03.
Surgical Specialists Pc's current location address is 134 Grandview Ave, Waterbury, Connecticut. You can contact this provider via phone number 2037556666 and fax number 2035736735. The mailing address for Surgical Specialists Pc is 134 Grandview Ave, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Surgical Specialists Pc |
|---|---|
| Address | 134 Grandview Ave, Waterbury, Connecticut |
| Phone Number | 2037556666 |
| Fax Number | 2035736735 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shetty Jayakara |
| Credentials | MD |
| Telephone Number | 2037556666 |
NPI Number Detail
| NPI Number | 1497874945 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2009-11-03 |
Provider Mailing Address Detail
| Address | 134 Grandview Ave |
|---|---|
| City | Waterbury |
| State | Connecticut (CT) |
| Post Code | 67082507 |
| Phone Number | 2037556666 |
| Fax Number | 2035736735 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 24773 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20045404 | CT | RAILROAD MEDICARE | |
| 0R0463 | CT | HEALTHNET | |
| 556517 | CT | AETNA USH | |
| 010024773CT02 | CT | ANTHEM BCBS | |
| 199318 | CT | GHI | |
| 130555 | CT | WELLCARE | |
| 1247733 | CT | -- | |
| 24773 | CT | CONNECTICARE | |
| 130555 | CT | PREFERRED ONE | |
| NHS039 | CT | OXFORD HEALTHPLAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Surgical Specialists Pc by the Centers for Medicare & Medicaid Services?
The Surgical Specialists Pc has been assigned the NPI (National Provider Identifier) 1497874945 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Surgical Specialists Pc is physically located?
The Surgical Specialists Pc is physically situated at the following address: 134 Grandview Ave, Waterbury, CT, 67082507.
What is Surgical Specialists Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Surgical Specialists Pc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date was the 1497874945 assigned to Surgical Specialists Pc?
The Surgical Specialists Pc was issued its 1497874945 on 2007-03-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Surgical Specialists Pc's details last updated?
The information pertaining to the Surgical Specialists Pc, including its address, specialty, and other details, was most recently updated on 2009-11-03.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC