PHYSICIANS ALLIANCE OF CONNECTICUT, LLC (NPI# 1497229876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497229876 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS ALLIANCE OF CONNECTICUT, LLC |
| Practice Address |
2200 Whitney Ave Ste 170 Hamden CT 06518-3694 |
| Mailing Address |
322 E Main St Ste 1b Branford CT 06405-3136 |
| Practice Telephone | 2034082700 |
| Practice Fax Number | 2038488201 |
| Mailing Telephone | 2034887228 |
| Mailing Fax Number | 2034887227 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | YVETTE BARCHAT (COO) |
| Authorized Official Telephone | 2034887228 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHYSICIANS ALLIANCE OF CONNECTICUT, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093292310 | Physicians Alliance of Connecticut, LLC | Orthopaedic Surgery | 350 Goose Ln Ste 203b, Guilford, CT 06437-2158 | 2018-07-20 |
| 1881150720 | Physicians Alliance of Connecticut, LLC | Orthopaedic Surgery | 350 Goose Ln Ste 203b, Guilford, CT 06437-2158 | 2019-02-15 |
| 1871930057 | Physicians Alliance of Connecticut, LLC | Family Medicine | 322 E Main St, 1b, Branford, CT 06405 | 2013-05-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Physicians Alliance of Connecticut, LLC | 322 East Main Street, Suite 1b, Branford, CT 06405 |
| Street Address |
2200 WHITNEY AVE STE 170 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-3694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689652711 | Mark Phillips Altman | Orthopaedic Surgery | 2200 Whitney Ave Ste 170, Hamden, CT 06518-3694 | 2006-01-09 |
| 1578841797 | Daniel Sylvan Lavy | Surgery | 2200 Whitney Ave Ste 170, Hamden, CT 06518-3694 | 2011-07-22 |
| 1588830699 | John M. Aversa Jr. | Colon & Rectal Surgery | 2200 Whitney Ave Ste 170, Hamden, CT 06518-3694 | 2008-05-08 |
| 1366471849 | John Anthony Bonadies | Surgery | 2200 Whitney Ave Ste 170, Hamden, CT 06518-3694 | 2006-06-30 |
| 1689602492 | David S Katz | Surgery | 2200 Whitney Ave Ste 170, Hamden, CT 06518-3694 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
| 1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
| 1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1174751598 | Yetsa Adebodunde Tuakli-wosornu | Physical Medicine & Rehabilitation | 2080 Whitney Ave Ste 280, Hamden, CT 06518 | 2009-06-24 |
| 1619112133 | Priority Healthcare, LLC | Home Health | 12213 Town Walk Drive, Hamden, CT 06518 | 2008-12-12 |
| 1306095864 | Uttampal Singh | Dentist | 2832 Whitney Avenue- Advanced Orthodontics LLC, Suite- A, Hamden, CT 06518 | 2008-09-09 |
| 1790942100 | Wellcare of Connecticut, Inc. | Health Maintenance Organization | 2319 Whitney Avenue, 6th Floor, Hamden, CT 06518 | 2008-05-22 |
| 1720295165 | Susan Norkus | Specialist/Technologist | 275 Mt. Carmel Ave., Quinnipiac University, Hamden, CT 06518 | 2007-05-16 |
| 1447385620 | Fritz & Hawley Vision Center | Technician/Technologist | 2313 Whitney Ave, Suite 1d, Hamden, CT 06518 | 2007-02-21 |
| Find all providers in zip 06518 | ||||
| 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 |
|---|---|---|---|---|
| 1073591053 | Rowland B Mayor | Orthopaedic Surgery | 2416 Whitney Ave Ste 3, Hamden, CT 06518-3249 | 2006-01-09 |
| 1689652711 | Mark Phillips Altman | Orthopaedic Surgery | 2200 Whitney Ave Ste 170, Hamden, CT 06518-3694 | 2006-01-09 |
| 1043216575 | Louis Iorio | Orthopaedic Surgery | 9 Washington Ave, Hamden, CT 06518-3267 | 2005-06-21 |
| 1013440833 | Neon LLC | Orthopaedic Surgery | 2080 Whitney Ave, Hamden, CT 06518-3600 | 2017-04-08 |
| 1194161604 | Stephen Nelson | Orthopaedic Surgery | 2416 Whitney Ave Ste 3, Hamden, CT 06518-3249 | 2013-05-12 |
| 1992148761 | Eric Michael Padegimas | Orthopaedic Surgery | 2416 Whitney Ave Ste 3, Hamden, CT 06518-3249 | 2013-04-11 |
| 1134488331 | Glenn Scott Russo | Orthopaedic Surgery | 2408 Whitney Ave, Hamden, CT 06518-3209 | 2012-05-08 |
| 1114231396 | The Orthopaedic Group, LLC | Orthopaedic Surgery | 2200 Whitney Ave, Suite 270, Hamden, CT 06518-3691 | 2010-07-30 |
| 1861600165 | Derek S Shia | Orthopaedic Surgery | 9 Washington Ave, Hamden, CT 06518-3267 | 2007-05-18 |
| 1477532489 | John Paul Daigneault | Orthopaedic Surgery | 2416 Whitney Ave Ste 3, Hamden, CT 06518-3249 | 2006-01-10 |
| Find all providers in HAMDEN | ||||
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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.