MIDDLESEX ORTHOPEDIC SURGEONS PC (NPI# 1558474742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558474742 |
| Entity Type | Organization |
| Organization Name | MIDDLESEX ORTHOPEDIC SURGEONS PC |
| Practice Address |
410 Saybrook Rd Ste 100 Middletown CT 06457-4780 |
| Practice Telephone | 8606858940 |
| Mailing Telephone | 8606858940 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2012-05-11 |
| Authorized Official Name | SEAN J O'DONNELL (OFFICER/SECRETARY) |
| Authorized Official Telephone | 8606858940 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 174400000X | Specialist | CT | Other Service Providers | |
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004000469 | 05 |
| Street Address |
410 SAYBROOK RD STE 100 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720069560 | Martha L Mccrann | Physician Assistant | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 | 2005-11-09 |
| 1114578663 | Middesex Dental Sleep Medicine LLC | Dentist | 410 Saybrook Rd, Suite 202, Middletown, CT 06457-4777 | 2019-09-26 |
| 1417314253 | Stephanie Belanger | Physical Therapist | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2016-01-25 |
| 1366837056 | Katherine Erikson | Physician Assistant | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2015-03-31 |
| 1205236247 | Carly Croteau | Physical Therapist | 410 Saybrook Rd, Middletown, CT 06457-4777 | 2014-08-27 |
| 1033553011 | Oaa LLC | Dentist | 410 Saybrook Rd, Middletown, CT 06457 | 2013-04-22 |
| 1073867818 | Middlesex Orthopedic Surgeons Prof Corp | Specialist | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2012-11-01 |
| 1346596657 | Stephanie Lynn Vanheyst | Physical Therapist | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2012-07-24 |
| 1629228556 | Cristina Alena Savin | Physician Assistant | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 | 2008-09-28 |
| 1386838803 | Janice Desi | Physician Assistant | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4711 | 2007-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| 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 |
|---|---|---|---|---|
| 1023473782 | Dassa Orthopedic Medical Services, PC | Orthopaedic Surgery | 253 Route 211 E, 2nd Floor, Middletown, NY 10940 | 2015-12-23 |
| 1134526601 | Middletown Medical PC | Orthopaedic Surgery | 35 Maltese Dr, Middletown, NY 10940-2109 | 2014-12-01 |
| 1902136823 | Max Robert Berdichevsky | Orthopaedic Surgery | 200 Medical Center Dr Ste 375, Middletown, OH 45005-5180 | 2009-12-29 |
| 1265589774 | Robert Walter O'connor | Orthopaedic Surgery | 512 Saybrook Rd Ste 100, Middletown, CT 06457-4788 | 2007-01-05 |
| 1205844503 | Govindlal K Bhanusali | Orthopaedic Surgery | 15 Dunning Road, Suite 2, Middletown, NY 10940-2212 | 2006-08-03 |
| 1750912622 | Jamie Lynn Beaulieu | Orthopaedic Surgery | 512 Saybrook Rd, Middletown, CT 06457-4788 | 2020-01-30 |
| 1386084010 | Andrew William Pao | Orthopaedic Surgery | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2013-06-26 |
| 1528402963 | Amy Sarah Wasterlain | Orthopaedic Surgery | 410 Saybrook Rd Ste 100, Middletown, CT 06457-4780 | 2013-04-27 |
| 1902148281 | Michael Ryan Rutter | Orthopaedic Surgery | 707 E Main St, Middletown, NY 10940-2650 | 2013-03-25 |
| 1043577943 | Mikhail I. Khaimov | Orthopaedic Surgery | 155 Crystal Run Rd, Middletown, NY 10941 | 2012-04-16 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.