Connecticut Surgical Group, Pc in Farmington - Foot & Ankle Surgery
Connecticut Surgical Group, Pc - NPI 1053395400
Connecticut Surgical Group, Pc is a Foot & Ankle Surgery in Farmington, Connecticut. Connecticut Surgical Group, Pc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Connecticut Surgical Group, Pc is 1053395400. The last update date is 2010-08-11.
Connecticut Surgical Group, Pc's current location address is 17 Talcott Notch Rd, Farmington, Connecticut. You can contact this provider via phone number 8605470616 and fax number 8605242655. The mailing address for Connecticut Surgical Group, Pc is 17 Talcott Notch Rd, Farmington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Connecticut Surgical Group, Pc |
|---|---|
| Address | 17 Talcott Notch Rd, Farmington, Connecticut |
| Phone Number | 8605470616 |
| Fax Number | 8605242655 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ADMI |
|---|---|
| Authorized Official Name | Mckell C Douglas |
| Telephone Number | 8605244326 |
NPI Number Detail
| NPI Number | 1053395400 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2010-08-11 |
Provider Mailing Address Detail
| Address | 17 Talcott Notch Rd |
|---|---|
| City | Farmington |
| State | Connecticut (CT) |
| Post Code | 60321818 |
| Phone Number | 8605470616 |
| Fax Number | 8605242655 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1926310 | NY | -- | |
| 9781188 | MA | -- | |
| 4169711 | CT | -- | |
| 50CONNSURCT01 | CT | ANTHEM BCBS | |
| 4201034 | CT | -- | |
| 87090 | CT | AETNA | |
| 0000S02059 | CT | HEALTH NET VENDOR # |
Post Comment/ Review Below
What is the unique identifier code issued to Connecticut Surgical Group, Pc by the Centers for Medicare & Medicaid Services?
The Connecticut Surgical Group, Pc has been assigned the NPI (National Provider Identifier) 1053395400. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Connecticut Surgical Group, Pc is physically located?
The Connecticut Surgical Group, Pc is situated at the following address: 17 Talcott Notch Rd, Farmington, CT 60321818.
What is the Connecticut Surgical Group, Pc's area of specialization and corresponding taxonomy classification?
The Connecticut Surgical Group, Pc's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1053395400 to Connecticut Surgical Group, Pc?
The Connecticut Surgical Group, Pc received its 1053395400 assignment from the Centers for Medicare & Medicaid Services on 2005-11-30.
As of what date were the details related to Connecticut Surgical Group, Pc most recently updated or revised?
The information pertaining to Connecticut Surgical Group, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2010-08-11.
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