MICHAEL HAMILTON ELLSWORTH (NPI# 1063412518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063412518 |
| Entity Type | Individual |
| Full Name | MICHAEL HAMILTON ELLSWORTH |
| Credential | MD |
| Practice Address |
255 Pomfret St Putnam CT 06260-1853 |
| Mailing Address |
Po Box 456 Putnam CT 06260-0456 |
| Practice Telephone | 8609287939 |
| Practice Fax Number | 8609284587 |
| Mailing Telephone | 8609287939 |
| Mailing Fax Number | 8609284587 |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 014465 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BLUE CROSS BLUE SHIELD | 010014465CT01 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023414778 | Michael Ellsworth | Counselor | 484 Main St, Worcester, MA 01608-1893 | 2014-11-07 |
| 1497705545 | Michael Rodney Ellsworth | Anesthesiologist Assistant | 1001 Johnson Ferry Rd, Scottish Rite Dept of Anes, Atlanta, GA 30342 | 2006-05-11 |
| Street Address |
255 POMFRET ST |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
| 1902450448 | Jillian Bellman | Registered Nurse | 391 Pomfret Street, Putnam, CT 06260 | 2019-08-01 |
| 1285297390 | Jourhana Colon | Behavior Technician | 62 Providence Pike Ste E, Putnam, CT 06260 | 2019-04-16 |
| 1457839417 | Amplisound, Inc. | Hearing Instrument Specialist | 19 Quinebaug Avenue, Putnam, CT 06260 | 2018-08-01 |
| 1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
| 1558619957 | Merinessa Macayaon Quintilla | Physical Therapist | 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 | 2012-08-16 |
| 1235496936 | Mohsin Haseeb | Internal Medicine | Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 | 2012-04-18 |
| 1588932529 | Lifehouse Community Care, LLC | Home Health | 554 Liberty Highway Unit 2, Putnam, CT 06260 | 2011-12-05 |
| 1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
| Find all providers in zip 06260 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427533959 | Somers Orthopaedic Surgery & Sports Medicine Group Pllc | Orthopaedic Surgery | 40 Old Ridgebury Rd Ste 101, Danbury, CT 06810-5119 | 2018-10-01 |
| 1275035610 | Orthoconnecticut, PC | Orthopaedic Surgery | 338 Bantam Rd, Litchfield, CT 06759-3318 | 2018-03-01 |
| 1669995163 | Orthoconnecticut, PC | Orthopaedic Surgery | 323 Riverside Ave, Westport, CT 06880-4810 | 2017-07-18 |
| 1316469927 | Greater Hartford Orthopedic Group, PC | Orthopaedic Surgery | 893 Main St Ste 301, East Hartford, CT 06108-2293 | 2017-07-14 |
| 1871031138 | Robert Joseph Orlandi | Orthopaedic Surgery | 27 Hine Hill Rd (supreme Court Ct & N.y), New Milford, CT 00776 | 2017-02-07 |
| 1013468719 | The Orthopaedic and Sports Medicine Center | Orthopaedic Surgery | 1800 Post Rd E, Westport, CT 06880-5607 | 2016-10-18 |
| 1043666241 | Walter Thomas Shanley | Orthopaedic Surgery | 279a South Trl, Stratford, CT 06614-6131 | 2016-05-06 |
| 1851775035 | Anthony S. D. Parisi | Orthopaedic Surgery | 24 Billow Rd, Niantic, CT 06357-3404 | 2015-07-16 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1700205838 | Kristin Sandrowski | Orthopaedic Surgery | 888 White Plains Rd Ste And106, Trumbull, CT 06611-4552 | 2014-04-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.