CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC (NPI# 1205176856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205176856 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC |
| Other Organization Name | CONNECTICUT NEUROSCIENCE, PC A DIVISION OF CONNECTICUT ORTHOPAEDIC SPE |
| Practice Address |
1 Bradley Rd Unit 501-502 Woodbridge CT 06525-2285 |
| Mailing Address |
2408 Whitney Ave Hamden CT 06518-3209 |
| Practice Telephone | 2033892278 |
| Practice Fax Number | 2033892861 |
| Mailing Telephone | 2034073500 |
| Mailing Fax Number | 2032811164 |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |
| Authorized Official Name | GLENN ELIA (CEO) |
| Authorized Official Telephone | 2034073576 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Connecticut Neuroscience, PC a division of Connecticut Orthopaedic Spe | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809373 | Connecticut Orthopaedic Specialists, PC | Physical Therapist | 3 Liesl Ln, Branford, CT 06405-3036 | 2020-07-30 |
| 1932614450 | Connecticut Orthopaedic Specialists, PC | Physical Medicine & Rehabilitation | 1055 Post Rd Ste 4, Fairfield, CT 06824-6019 | 2017-12-06 |
| 1013422591 | Connecticut Orthopaedic Specialists, PC | Specialist | 2499 Main St Ste 6, Stratford, CT 06615-5843 | 2017-12-06 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497384978 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 330 Bridgeport Ave, Shelton, CT 06484-3861 | 2020-04-06 |
| 1043725526 | Connecticut Orthopaedic Specialists, PC | Chiropractor | 100 Beard Sawmill Rd, Shelton, CT 06484-6150 | 2017-12-06 |
| 1861907354 | Connecticut Orthopaedic Specialists, PC | Chiropractor | 1800 Post Rd E, Westport, CT 06880-5607 | 2017-12-06 |
| 1386159861 | Connecticut Orthopaedic Specialists, PC | Podiatrist | 888 White Plains Rd Ste 105&106, Trumbull, CT 06611-4552 | 2017-12-06 |
| 1205358272 | Connecticut Orthopaedic Specialists, PC | Anesthesiology | 701 N Colony Rd, Wallingford, CT 06492-2407 | 2017-07-12 |
| 1669994638 | Connecticut Orthopaedic Specialists, PC | Physical Therapy Assistant | 701 N Colony Rd, Wallingford, CT 06492-2407 | 2017-07-12 |
| Street Address |
1 BRADLEY RD UNIT 501-502 |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525-2285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441826 | William N Schreiber | Internal Medicine | 1 Bradley Rd, Suite 709, Woodbridge, CT 06525-2285 | 2005-07-18 |
| 1457803934 | Stacy Mantel | Counselor | 1 Bradley Rd, Suite 206, Woodbridge, CT 06525-2285 | 2016-10-31 |
| 1811354053 | Shannon Webb | Physical Medicine & Rehabilitation | 1 Bradley Rd, Ste 801, Woodbridge, CT 06525-2285 | 2016-01-19 |
| 1821462375 | Lorraine Byam | Counselor | 1 Bradley Rd, Suite 404, Woodbridge, CT 06525-2285 | 2015-11-20 |
| 1982077947 | Nicole Derobertis, Lcsw, LLC | Social Worker | 1 Bradley Rd, Suite 707, Woodbridge, CT 06525-2285 | 2015-11-12 |
| 1811370125 | Monica A. Starr, Aprn, LLC | Nurse Practitioner | 1 Bradley Rd, Suite 206, Woodbridge, CT 06525-2285 | 2015-07-06 |
| 1568843183 | Claudia-santi Ferrante Fernandes | Counselor | 1 Bradley Rd, Suite 905, Woodbridge, CT 06525-2285 | 2015-06-10 |
| 1174902084 | Connecticut Psychiatric & Wellness Center | Community/Behavioral Health | 1 Bradley Rd, 404, Woodbridge, CT 06525-2285 | 2015-05-26 |
| 1225443708 | Ashley Donovan | Social Worker | 1 Bradley Rd, 905, Woodbridge, CT 06525-2285 | 2014-06-24 |
| 1265784607 | Beverley Charmaine Phillips-lewis | Social Worker | 1 Bradley Rd, Suite 905, Woodbridge, CT 06525-2285 | 2012-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649838822 | Arcadian Counseling, LLC | Counselor | 176 Amity Rd # 283, Woodbridge, CT 06525 | 2019-06-03 |
| 1538604566 | Susan G Israel | Psychiatry & Neurology | 18 Carriage Hill Road, Woodbridge, CT 06525 | 2016-12-29 |
| 1417409947 | Personal Care Training LLC | Home Health | 30 Hazel Terace #7, Woodbridge, CT 06525 | 2016-11-01 |
| 1538506324 | James A Killian | Counselor | 1 Bradley Rd Ste 106, Woodbridge, CT 06525 | 2013-06-03 |
| 1154666063 | Julie M Charron | Physical Therapy Assistant | 5 Spring Valley Rd, Woodbridge, CT 06525 | 2012-12-04 |
| 1780931022 | Edward David Martino | Dentist | 1674 Litchfield Turnpike, Woodbridge, CT 06525 | 2012-08-06 |
| 1972864627 | Sandra Boltax-stern, Md, PC | Psychiatry & Neurology | 78 Ansonia Road, Woodbridge, CT 06525 | 2012-05-30 |
| 1629383906 | Innovative Healthcare | Exclusive Provider Organization | 555 Amity Rd., Woodbridge, CT 06525 | 2010-08-11 |
| 1437300225 | Carl B. Lundborg | Orthopaedic Surgery | 4 Fox Hill Rd, Woodbridge, CT 06525 | 2008-10-10 |
| 1033366067 | Richard Eubanks Fearon | Internal Medicine | 20 Brook Rd, Woodbridge, CT 06525 | 2008-08-21 |
| Find all providers in zip 06525 | ||||
| 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 |
|---|---|---|---|---|
| 1396184057 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 14605 Potomac Branch Dr., Suite 300, Woodbridge, VA 22182 | 2013-06-17 |
| 1851532600 | Michael T Lu | Orthopaedic Surgery | 1000 Route 9 N Ste 306, Woodbridge, NJ 07095-1200 | 2009-03-07 |
| 1437300225 | Carl B. Lundborg | Orthopaedic Surgery | 4 Fox Hill Rd, Woodbridge, CT 06525 | 2008-10-10 |
| 1023110426 | Ghassem A Nejad | Orthopaedic Surgery | 2020 Optiz Blvd, B, Woodbridge, VA 22191 | 2006-09-05 |
| 1225657281 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 2296 Opitz Blvd Ste 210, Woodbridge, VA 22191-3345 | 2020-04-10 |
| 1467908061 | Privia Medical Group | Orthopaedic Surgery | 2010 Opitz Blvd Ste C, Woodbridge, VA 22191-3359 | 2016-09-01 |
| 1134567910 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 1958 Opitz Blvd, Woodbridge, VA 22191 | 2013-06-13 |
| 1114272457 | Owolabi Adebayo Shonuga | Orthopaedic Surgery | 14605 Potomac Branch Dr, Woodbridge, VA 22191 | 2012-07-23 |
| 1780972083 | Garden State Bone and Joint Specialists, LLC | Orthopaedic Surgery | 1000 Route 9 N Ste 306, Woodbridge, NJ 07095-1200 | 2011-07-20 |
| 1528290343 | Washington Orthopaedic & Spine Institute | Orthopaedic Surgery | 14904 Jefferson Davis Hwy, Suite #201, Woodbridge, VA 22191-3908 | 2009-08-12 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 06525 |
Please comment or provide details below to improve the information on CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC.
| 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.