CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC (NPI# 1588079487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588079487 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC |
| Other Organization Name | THE ORTHOPAEDIC GROUP, LLC |
| Practice Address |
199 Whitney Ave New Haven CT 06511-3786 |
| Mailing Address |
2408 Whitney Ave Hamden CT 06518-3209 |
| Practice Telephone | 2038656784 |
| Practice Fax Number | 2038656788 |
| Mailing Telephone | 2034073500 |
| Mailing Fax Number | 2032811164 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |
| 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 | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Orthopaedic Group, LLC | 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 |
199 WHITNEY AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-3786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326046095 | Katherine Jerin | Physical Therapist | 199 Whitney Ave, New Haven, CT 06511-3786 | 2005-07-07 |
| 1073929311 | Connecticut Orthopaedic Specialists, PC | Physical Therapist | 199 Whitney Ave, New Haven, CT 06511-3786 | 2014-07-08 |
| 1316221757 | Jacqueline Anne Milone | Specialist | 199 Whitney Ave, New Haven, CT 06511-3786 | 2011-10-04 |
| 1265584551 | Jennifer Murphy Bogardus | Physical Therapist | 199 Whitney Ave, New Haven, CT 06511-3786 | 2007-01-17 |
| 1811061401 | William James Coon | Emergency Medical Technician, Basic | 199 Whitney Ave, New Haven, CT 06511-3786 | 2006-11-17 |
| 1811942675 | The Orthopaedic Group, LLC | Orthopaedic Surgery | 199 Whitney Ave, New Haven, CT 06511-3786 | 2006-05-23 |
| 1295796340 | James M Montana | Physical Therapist | 199 Whitney Ave, New Haven, CT 06511-3786 | 2006-03-29 |
| 1356349021 | Ausberto A Perez II | Physical Therapist | 199 Whitney Ave, New Haven, CT 06511-3786 | 2005-07-07 |
| 1316944101 | Teri F Lavallee | Physical Therapist | 199 Whitney Ave, New Haven, CT 06511-3786 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| 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 |
|---|---|---|---|---|
| 1588867790 | Dominick A Tuason | Orthopaedic Surgery | 47 College St, New Haven, CT 06510-3209 | 2007-06-06 |
| 1902850498 | Lisa L. Lattanza | Orthopaedic Surgery | 47 College St Fl 2, New Haven, CT 06510-3209 | 2006-05-20 |
| 1316921356 | Michael A Luchini | Orthopaedic Surgery | 1481 Chapel St, New Haven, CT 06511-4305 | 2005-12-02 |
| 1184621419 | John P Fulkerson | Orthopaedic Surgery | 800 Howard Ave, New Haven, CT 06519-1369 | 2005-07-01 |
| 1720568447 | Jennifer Ann Valle | Orthopaedic Surgery | 800 Howard Ave Fl 1, New Haven, CT 06519-1369 | 2018-08-21 |
| 1124520523 | Assaf Kadar | Orthopaedic Surgery | 20 York St, New Haven, CT 06510 | 2018-03-02 |
| 1760893283 | Yi Guo | Orthopaedic Surgery | 20 York St, Depart. of Orthopaedics, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2014-05-19 |
| 1689093775 | Jenna Alysse Bernstein | Orthopaedic Surgery | 800 Howard Ave, New Haven, CT 06519-1369 | 2014-04-16 |
| 1639598212 | Daniel Robert Rubio | Orthopaedic Surgery | 47 College St Fl 2, New Haven, CT 06510-3209 | 2014-04-10 |
| 1235558057 | Izuchukwu Ibe | Orthopaedic Surgery | 20 York St, New Haven, CT 06510-3220 | 2014-04-09 |
| Find all providers in NEW HAVEN | ||||
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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.