APPLEGATE ORTHOPEDIC SPINE CENTER PC (NPI# 1174784797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174784797 |
Entity Type | Organization |
Organization Name | APPLEGATE ORTHOPEDIC SPINE CENTER PC |
Practice Address |
5 Pequot Park Rd Suite 201a Westbrook CT 06498-2856 |
Practice Telephone | 8603918068 |
Mailing Telephone | 8603918068 |
Enumeration Date | 2008-06-17 |
Last Update Date | 2012-07-09 |
Authorized Official Name | TODD DAVID APPLEGATE (DIRECTOR) |
Authorized Official Telephone | 8603918068 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
044333 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | CT LISENSE | 044333 | 01 |
Street Address |
5 PEQUOT PARK RD SUITE 201A |
City | WESTBROOK |
State | CT |
Zip Code | 06498-2856 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356392203 | Todd David Applegate | Orthopaedic Surgery | 5 Pequot Park Rd, Suite 201a, Westbrook, CT 06498-2856 | 2006-05-15 |
1871027177 | Craig Chatfied | Physical Therapy Assistant | 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498-2856 | 2017-04-13 |
1770020646 | Elizabeth Swift | Physical Therapist | 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498-2856 | 2017-01-30 |
1770941643 | Conor Schmidt | Physical Therapist | 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498-2856 | 2016-02-05 |
1356717482 | Mhs Primary Care Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 Pequot Park Rd, Suite 203, Westbrook, CT 06498-2856 | 2015-08-12 |
1346626264 | Kevin Smith | Physical Therapist | 5 Pequot Park Rd, Suite 303, Westbrook, CT 06498-2856 | 2015-08-03 |
1407282429 | Meagan Hoffman | Physical Therapist | 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498-2856 | 2013-09-23 |
1851724033 | Christopher L. Martin | Physical Therapist | 5 Pequot Park Rd, Suite 303, Westbrook, CT 06498-2856 | 2013-08-12 |
1053758383 | Allison B Resnick D.c. LLC | Chiropractor | 5 Pequot Park Rd, Suite 201a, Westbrook, CT 06498-2856 | 2013-05-28 |
1831463785 | Jodi Marak Ouellette | Specialist/Technologist | 5 Pequot Park Rd, Suite 303, Westbrook, CT 06498-2856 | 2012-02-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699966648 | Anthony P Ciaburri | Physical Therapist | 5 Pequot Park Road, Suite 303, Westbrook, CT 06498 | 2007-08-06 |
1043224579 | Thomas V Brady | Dentist | 1823 Boston Post Rd, Westbrook, CT 06498 | 2006-07-28 |
1194760579 | Gregory J Kundrat | Family Medicine | 4 Grove Beach Rd North, Building 1, Unit A, Westbrook, CT 06498 | 2006-06-18 |
1437468386 | Westbrook Youth and Family Services, Inc | Counselor | 1163 Boston Post Rd, Westbrook, CT 06498-0918 | 2010-09-27 |
1912295924 | Marvin Lloyd Sears | Ophthalmology | 952 Pond Meadow Rd, Westbrook, CT 06498-1429 | 2011-07-12 |
1700321403 | Dignity Home Health LLC | Home Health | 30 Ken Rose Ter, Westbrook, CT 06498-1487 | 2017-01-04 |
1568551174 | Holly Finley David | Dietitian, Registered | 44 Andre Dr, Westbrook, CT 06498-1525 | 2006-10-12 |
1851510929 | Mhs Primary Care, Inc. | Internal Medicine | Physician Office One, 250 Flat Rock Pl, Westbrook, CT 06498-1565 | 2007-04-25 |
1053385310 | David E Walker | Family Medicine | 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 | 2006-02-14 |
1063937860 | Middlesex Hospital | Internal Medicine | Physician Office One, 250 Flat Rock Place, Westbrook, CT 06498-1565 | 2017-08-14 |
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Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942629969 | Benjamin Geddes | Orthopaedic Surgery | 800 Howard Ave Rm Ypb 133, New Haven, CT 06519-1369 | 2014-04-08 |
1407942055 | Mark H Blechner | Orthopaedic Surgery | 2 Trap Falls Ste 404, Shelton, CT 06484-7622 | 2006-10-04 |
1033224498 | New Milford Spine and Orthopedic Institute, PC | Orthopaedic Surgery | 9 East St, Litchfield, CT 06759-3601 | 2006-08-19 |
1619996410 | David Aaron Bomback | Orthopaedic Surgery | 39 Hospital Ave, Danbury, CT 06810-6027 | 2006-07-19 |
1144781386 | Sct Care of Ct, LLC | Orthopaedic Surgery | 2389 Main St, Glastonbury, CT 06033-4617 | 2019-03-29 |
1457797276 | Raj Jitendra Gala | Orthopaedic Surgery | 39 Hospital Ave, Danbury, CT 06810 | 2013-05-20 |
1114219623 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 20 Commerce Park, Milford, CT 06460-3511 | 2011-05-03 |
1326225079 | William Donald Long IIi | Orthopaedic Surgery | 20 York Street, Yale-new Haven Hospital, New Haven, CT 06510 | 2008-01-24 |
1376742031 | Connecticut Spine and Disc | Orthopaedic Surgery | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2007-07-13 |
1154526705 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 339 Boston Post Rd, Orange, CT 06477-3560 | 2007-06-15 |
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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.