NORWICH ORTHOPEDIC GROUP, PC (NPI# 1619323706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619323706 |
| Entity Type | Organization |
| Organization Name | NORWICH ORTHOPEDIC GROUP, PC |
| Other Organization Name | ORTHOPEDIC PARTNERS |
| Practice Address |
11 Industrial Park Rd Niantic CT 06357-1904 |
| Mailing Address |
82 New Park Ave North Franklin CT 06254-1807 |
| Practice Telephone | 8608897345 |
| Practice Fax Number | 8608857229 |
| Mailing Telephone | 8608897345 |
| Mailing Fax Number | 8608857229 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |
| Authorized Official Name | MOHAMMAD PASHA (ASSISTANT TREASURER) |
| Authorized Official Telephone | 8608897345 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004002358 | 05 |
| Other Name | Type Code |
|---|---|
| Orthopedic Partners | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598111478 | Norwich Orthopedic Group, PC | Orthopaedic Surgery | 11 Industrial Park Rd, Niantic, CT 06357-1904 | 2016-05-10 |
| Street Address |
11 INDUSTRIAL PARK RD |
| City | NIANTIC |
| State | CT |
| Zip Code | 06357-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326013012 | Gregory Alan White | Specialist/Technologist | 11 Industrial Park Rd, Niantic, CT 06357-1210 | 2006-02-17 |
| 1003372103 | Ashley James | Specialist/Technologist | 11 Industrial Park Rd, Niantic, CT 06357-0635 | 2019-02-13 |
| 1598111478 | Norwich Orthopedic Group, PC | Orthopaedic Surgery | 11 Industrial Park Rd, Niantic, CT 06357-1904 | 2016-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093094401 | Pamela Dhillon | Nurse Practitioner | 215 West Main St, Niantic, CT 06357 | 2011-08-16 |
| 1841454485 | Richard Frederick Jones IIi | Obstetrics & Gynecology | 224 Old Balck Point Rd, Niantic, CT 06357 | 2008-07-14 |
| 1437224771 | Margaret C Barili | Registered Nurse | 369 Main Street, Niantic, CT 06357 | 2006-11-21 |
| 1720163942 | Carole C Olson | Psychologist | 4 N. Pine Street, Ninantic, CT 06357 | 2006-10-26 |
| 1427151513 | Melvin Harold Engel | Family Medicine | 50 Green Cliff Drive, Niantic, CT 06357 | 2006-09-06 |
| 1457304420 | Michele Nadine Litwin | Nurse Practitioner | 30 W Main Street, Niantic, CT 06357 | 2006-05-18 |
| 1487133906 | Ryne Mcmullen | Physical Therapist | 11 Freedom Way Unit B2, Niantic, CT 06357 | 2018-08-07 |
| 1558720854 | Bodhi Naturopathic LLC | Naturopath | 17 Hope Street, Nianic, CT 06357 | 2016-02-15 |
| 1477980480 | Heather Michelle Rynkowski | Physician Assistant | 365 Montauk Ave, Office # 3.525, New London, CT 06357 | 2013-10-04 |
| 1245662592 | Erica L Lussier | Nurse Practitioner | 248 Flanders Rd, Niantic, CT 06357 | 2013-08-08 |
| Find all providers in zip 06357 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528535119 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 5520 Park Ave Ste Wp2-200, Trumbull, CT 06611-3463 | 2018-11-01 |
| 1235606880 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 1320 W Main St Bldg 2, Waterbury, CT 06708-3131 | 2018-10-31 |
| 1891262481 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | 2018-11-01 |
| 1700353398 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 11 South Rd Ste 250, Farmington, CT 06032-2484 | 2018-11-01 |
| 1346717931 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 131 Kent Rd Bldg A, New Milford, CT 06776-3485 | 2018-11-01 |
| 1407297203 | Norwalk Medical Group | Non-Pharmacy Dispensing Site | 24 Stevens St, Norwalk, CT 06850-3852 | 2013-07-10 |
| 1306103502 | Feel Well Health Center of Southington, PC | Non-Pharmacy Dispensing Site | 710 Main St, Bldg 4, Plantsville, CT 06479-1565 | 2012-04-12 |
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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.