MIDDLESEX ORTHOPEDIC SURGEONS PROF CORP (NPI# 1073867818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073867818 |
| Entity Type | Organization |
| Organization Name | MIDDLESEX ORTHOPEDIC SURGEONS PROF CORP |
| Practice Address |
410 Saybrook Rd Suite 100 Middletown CT 06457-4777 |
| Mailing Address |
4 Grove Beach Rd N Building 2 Suite E and F Westbrook CT 06498-1656 |
| Practice Telephone | 8606858940 |
| Mailing Telephone | 8606694174 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| Authorized Official Name | SEAN J O'DONNELL (PRESIDENT) |
| Authorized Official Telephone | 8606858940 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 034830 | CT | Other Service Providers |
| Street Address |
410 SAYBROOK RD SUITE 100 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720069560 | Martha L Mccrann | Physician Assistant | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 | 2005-11-09 |
| 1114578663 | Middesex Dental Sleep Medicine LLC | Dentist | 410 Saybrook Rd, Suite 202, Middletown, CT 06457-4777 | 2019-09-26 |
| 1417314253 | Stephanie Belanger | Physical Therapist | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2016-01-25 |
| 1366837056 | Katherine Erikson | Physician Assistant | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2015-03-31 |
| 1205236247 | Carly Croteau | Physical Therapist | 410 Saybrook Rd, Middletown, CT 06457-4777 | 2014-08-27 |
| 1033553011 | Oaa LLC | Dentist | 410 Saybrook Rd, Middletown, CT 06457 | 2013-04-22 |
| 1346596657 | Stephanie Lynn Vanheyst | Physical Therapist | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2012-07-24 |
| 1629228556 | Cristina Alena Savin | Physician Assistant | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 | 2008-09-28 |
| 1386838803 | Janice Desi | Physician Assistant | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4711 | 2007-08-28 |
| 1912114679 | Robert Jakubiec | Dentist | 410 Saybrook Rd, Suite 203, Middletown, CT 06457-4777 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036208 | Pierremarie Chloe Vital | Specialist | 33 California Dr, Middletown, NY 10940-7543 | 2020-09-05 |
| 1215568332 | Ei Dawns Way | Specialist | 41 Mayer Dr Ph, Middletown, NY 10940-3349 | 2020-01-28 |
| 1437629722 | Beatrice Ayanna Hutcherson | Specialist | 4 Mckenzie Ct, Middletown, NY 10940-5069 | 2018-11-28 |
| 1700316486 | Jessica Maria Soto | Specialist | 192 Tower Drive, Suite 400, Middletown, NY 10940 | 2017-06-15 |
| 1669910279 | Dawn A Anderson | Specialist | 41 Mayer Dr, Ph, Middletown, NY 10940-3349 | 2017-02-02 |
| 1316481732 | Pieper Memorial Veterinary Center | Specialist | 730 Randolph Rd, Middletown, CT 06457-5331 | 2016-12-05 |
| 1477909265 | Lisa Robb | Specialist | 27 James P Kelly Way Apt 22, Middletown, NY 10940-9452 | 2016-05-11 |
| 1104221589 | Marissa Fajardo | Specialist | 7 Rodman St, Middletown, NY 10940-3205 | 2014-10-28 |
| 1962816645 | Cathleen Mackey | Specialist | 101 Rolling Meadows Road, Middletown, NY 10940-7062 | 2014-06-20 |
| 1538500723 | Lucy Ortega | Specialist | 18 Silo Ln, Middletown, NY 10940-2603 | 2013-07-16 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on MIDDLESEX ORTHOPEDIC SURGEONS PROF CORP.
| 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.