CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC (NPI# 1205358272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205358272 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC |
| Practice Address |
701 N Colony Rd Wallingford CT 06492-2407 |
| Mailing Address |
2408 Whitney Ave Hamden CT 06518-3209 |
| Practice Telephone | 2032651800 |
| Practice Fax Number | 2032849010 |
| Mailing Telephone | 2036260160 |
| Mailing Fax Number | 2032946734 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Authorized Official Name | GLENN ELIA (CEO) |
| Authorized Official Telephone | 2034073576 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
37864 | CT | Allopathic & Osteopathic Physicians |
| N | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
51978 | CT | Allopathic & Osteopathic Physicians |
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | 39852 | CT | Allopathic & Osteopathic Physicians |
| N | 213E00000X | Podiatrist | 576 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
576 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
747 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 363A00000X | Physician Assistant | 3013 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| 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 |
| 1669994638 | Connecticut Orthopaedic Specialists, PC | Physical Therapy Assistant | 701 N Colony Rd, Wallingford, CT 06492-2407 | 2017-07-12 |
| 1922556547 | Connecticut Orthopaedic Specialists, PC | Clinic/Center | 2416 Whitney Ave, Occnow, Hamden, CT 06518-3248 | 2016-09-12 |
| Street Address |
701 N COLONY RD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558358713 | John Marino | Physical Medicine & Rehabilitation | 701 N Colony Rd, Wallingford, CT 06492-2407 | 2005-10-03 |
| 1669994638 | Connecticut Orthopaedic Specialists, PC | Physical Therapy Assistant | 701 N Colony Rd, Wallingford, CT 06492-2407 | 2017-07-12 |
| 1275921215 | Joshua Hutton | Physical Therapist | 701 N Colony Rd, Wallingford, CT 06492-2407 | 2014-12-29 |
| 1740520394 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 701 N Colony Rd, Wallingford, CT 06492-2407 | 2013-02-19 |
| 1205027281 | Jennifer Giuliano | Physical Therapist | 701 N Colony Rd, Wallingford, CT 06492-2407 | 2007-08-06 |
| 1841363942 | Ryan Andrew Gleason | Physical Therapist | 701 N Colony Rd, Wallingford, CT 06492 | 2006-11-16 |
| 1457444770 | Lisa Van Zilen | Physical Therapist | 701 N Colony Rd, Wallingford, CT 06492-2407 | 2006-09-30 |
| 1821060211 | Elizabeth Rowell | Physical Therapist | 701 N Colony Rd, Wallingford, CT 06492-2407 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| 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 |
|---|---|---|---|---|
| 1407879521 | Jeffrey T Pravda | Orthopaedic Surgery | 863 N. Main St. Ext., Suite 200, Wallingford, CT 06492-1832 | 2006-07-26 |
| 1598747602 | Alfredo Luis Axtmayer | Orthopaedic Surgery | 8 Research Pkwy, Wallingford, CT 06492-1929 | 2005-11-15 |
| 1659816627 | Docaxt, Inc | Orthopaedic Surgery | 85 Barnes Rd, Suite 301, Wallingford, CT 06492-1832 | 2016-12-30 |
| 1366731069 | Craig R. Foster, Md, LLC | Orthopaedic Surgery | 8 Research Pkwy, Wallingford, CT 06492-1930 | 2011-04-04 |
| 1477713998 | Keith P Aldrich | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2008-06-10 |
| 1215194105 | Aaron Saul Covey | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2008-05-19 |
| 1740481514 | Alfredo L. Axtmayer M.d. P.C. | Orthopaedic Surgery | 8 Research Pkwy, Wallingford, CT 06492-1929 | 2007-05-30 |
| 1346263456 | Leonard A Kolstad | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2006-07-26 |
| 1386667574 | Jon C Driscoll | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2006-07-26 |
| 1275554438 | Ronald S Paret | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2006-07-22 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
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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.