SURGICAL SPECIALTIES OF EASTERN CT LLC


Address: 116 E Center St, Suite 14, Manchester, CT 06040-5215
Phone: 8606468457

SURGICAL SPECIALTIES OF EASTERN CT LLC (NPI# 1356411284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356411284
Entity Type Organization
Organization Name SURGICAL SPECIALTIES OF EASTERN CT LLC
Practice Address 116 E Center St
Suite 14
Manchester
CT 06040-5215
Mailing Address 116 E Center St Ste 14
Manchester
CT 06040-5215
Practice Telephone 8606468457
Practice Fax Number 8606466388
Mailing Telephone 8606468457
Mailing Fax Number 8606466388
Enumeration Date 2006-11-08
Last Update Date 2020-08-22
Authorized Official Name MR. HARRY ANDERSON (MD)
Authorized Official Telephone 8606462457
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 043351 CT Allopathic & Osteopathic Physicians
Y 208600000X Surgery 020769 CT Allopathic & Osteopathic Physicians

Office Location

Street Address 116 E CENTER ST
SUITE 14
City MANCHESTER
State CT
Zip Code 06040-5215

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942276977 Arthur E. Lamontagne Jr. Urology 116 E Center St, Manchester, CT 06040-5215 2006-02-28
1174705313 David Jeremy Rosenberg Urology 116 E Center St, Suite 19, Manchester, CT 06040-5215 2007-11-29
1902004765 Surgical Associates of Eastern Connecticut LLC Surgery 116 E Center St, Suite 12, Manchester, CT 06040-5215 2007-07-03
1821295296 Kristin Lund Neurological Surgery 116 E Center St, Suite 10, Manchester, CT 06040-5215 2007-06-29
1821204579 Associated Urologists PC Urology 116 E Center St, Suite 19, Manchester, CT 06040-5215 2007-05-16
1346386828 Harry Anderson Surgery 116 E Center St, Suite 14, Manchester, CT 06040-5215 2007-01-30
1588694210 Donna M. Boccelli Podiatrist 116 E Center St, Suite 10, Manchester, CT 06040-5215 2006-07-05
1568430361 Anthony Distefano Urology 116 E Center St, Suite 19, Manchester, CT 06040-5215 2006-03-09
1386612182 Thomas E Staley Urology 116 E Center St, Suite 19, Manchester, CT 06040-5215 2006-03-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710501333 Mackenzie Lawler Social Worker 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 2020-05-29
1386288009 Monica Diaz Social Worker 117 East Center Street, Suite A1, Manchester, CT 06040 2019-11-06
1346881596 Sheryl Andrine Henry Technician 185 Pine Street, Apt 014, Manchester, CT 06040 2019-09-30
1811550304 Edward Wahn Lee Student in an Organized Health Care Education/Training Program 130 Hartford Road, Manchester, CT 06040 2019-04-19
1538689534 Bernard Ashirifie Counselor 869 Main Street, Apt 3, Manchester, CT 06040 2017-06-21
1497275697 Justin David Chung Dentist 483 Middle Tpke W Ste 209, Manchester, CT 06040 2017-06-20
1114473436 Amanda Edgar Counselor 469 Center Street, Manchester, CT 06040 2016-08-28
1760831366 Samantha Micael Marriage & Family Therapist 200 West Center Street, Suite C-2-6, Manchester, CT 06040 2016-06-06
1962856179 Odelia Brew Nurse Practitioner 256 Hackmatack Street, Manchester, CT 06040 2016-04-14
1306217765 Stephen R Machattie Social Worker 843 Main St Ste 11, Manchester, CT 06040 2015-10-12
Find all providers in zip 06040

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639618663 Heather N Fesmire Surgery 1030 Mcarthur St., Manchester, TN 37355 2017-02-23
1013279199 Eyone Jones Surgery 29 Haynes St Ste B, Manchester, CT 06040-4139 2012-06-13
1982721866 William S. Karkow Surgery 2582 150th Ave, Manchester, IA 52057-8524 2007-03-23
1205912102 Manchester Surgical Assoc Surgery 1239 Mcarthur Drive, Manchester, TN 37355-2423 2006-10-31
1598873259 Ja-nan Yu Surgery 1050 Mcarthur Street, Manchester, TN 37349 2006-08-25
1457388183 Laureen Forgione-rubino Surgery 945 Main Street, Suite #105, Manchester, CT 06040 2006-06-27
1568423846 Marc S Rubenson Surgery 125 Chase Way, Manchester, NH 03104-1717 2006-03-28
1225004005 Edward P. Dalton Surgery Elliot Breast Health Center, 275 Mammoth Road, Suite 1, Manchester, NH 03109 2006-02-23
1861465635 Reginald Winfield Raynor IIi Surgery 29 Haynes St, Suite B, Manchester, CT 06040-4139 2006-02-10
1710976964 Lawrence Michael Hoepp Surgery 184 Tarrytown Rd, Manchester, NH 03103-2713 2005-10-20
Find all providers in MANCHESTER

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City MANCHESTER
Zip Code 06040

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Dataset Information

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.

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