CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC (NPI# 1700207198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700207198 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC |
| Other Organization Name | SHORELINE ORTHOPEDIC REHABILITATION A DIVISION OF CONNECTICUT ORTHOPAE |
| Practice Address |
12 Bokum Rd Essex CT 06426-1500 |
| Mailing Address |
2408 Whitney Ave Hamden CT 06518-3209 |
| Practice Telephone | 8607679053 |
| Practice Fax Number | 8607671146 |
| Mailing Telephone | 2036260160 |
| Mailing Fax Number | 2032946734 |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | GLENN ELIA (CEO) |
| Authorized Official Telephone | 2034073576 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Shoreline Orthopedic Rehabilitation a division of Connecticut Orthopae | 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 |
12 BOKUM RD |
| City | ESSEX |
| State | CT |
| Zip Code | 06426-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336107176 | Mark David Lorenze | Orthopaedic Surgery | 12 Bokum Rd, Essex, CT 06426-1500 | 2006-05-02 |
| 1710264221 | Mary Lou Jones | Physical Therapist | 12 Bokum Rd, Essex, CT 06426-1500 | 2011-11-11 |
| 1225317118 | Patricia Sparaco | Physical Therapist | 12 Bokum Rd, Essex, CT 06426-1500 | 2011-08-09 |
| 1184910572 | Kristin Lee Moynihan | Physical Therapist | 12 Bokum Rd, Essex, CT 06426-1500 | 2011-06-23 |
| 1295057222 | Michele Ann Moy | Physical Therapist | 12 Bokum Rd, Essex, CT 06426-1500 | 2010-02-17 |
| 1033360300 | Bryan Thomas Danna | Physician Assistant | 12 Bokum Rd, Essex, CT 06426-1500 | 2008-10-06 |
| 1376740035 | Alyson Whelan | Physical Therapist | 12 Bokum Rd, Essex, CT 06426-1500 | 2007-06-27 |
| 1063524742 | Keikhosrow Kai Aboulian | Physical Therapist | 12 Bokum Rd, Essex, CT 06426-1500 | 2006-08-31 |
| 1851408280 | Eric Parnes | Physical Therapist | 12 Bokum Rd, Essex, CT 06426-1500 | 2006-08-23 |
| 1982718466 | Bonnie Brenneman | Physical Therapist | 12 Bokum Rd, Essex, CT 06426-1500 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123867 | Art Therapy & Creative Counseling | Counselor | 80 Plains Rd Unit 1, Essex, CT 06426 | 2017-06-05 |
| 1487085593 | Catherine Mary Demers | Nurse Practitioner | 10 Wildwood Medical Center, Essex, CT 06426 | 2013-11-29 |
| 1346515723 | Anne Peterson | Counselor | 80 Plains Rd, Essex, CT 06426 | 2012-03-19 |
| 1477851731 | Diana Leigh Amara | Counselor | 80 Plains Road, Essex, CT 06426 | 2011-03-09 |
| 1609034438 | Marybeth Pytlik Ellison | Pediatrics | Sunflower Developmental Pediatrics, 11 Wildwood Medical Center, Essex, CT 06426 | 2008-05-29 |
| 1780749747 | Dana Lyn Martin | Counselor | 190 Westbrook Road, Essex Child Guidance Clinic, Essex, CT 06426 | 2006-12-27 |
| 1881768836 | Jason Christopher Andrade | Counselor | 190 Westbrock Rd, Essex, CT 06426 | 2006-11-20 |
| 1386735546 | Robert D Dwyer | Urology | 6 Wildwood Medical Center, Essex, CT 06426 | 2006-09-27 |
| 1154421071 | Sharon D Mallon | Psychologist | 251 Westbrook Rd, Essex, CT 06426 | 2006-09-22 |
| 1043319510 | Brian David Fay | Social Worker | 251 Westbrook Road, Essex, CT 06426 | 2006-09-21 |
| Find all providers in zip 06426 | ||||
| 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 |
|---|---|---|---|---|
| 1336107176 | Mark David Lorenze | Orthopaedic Surgery | 12 Bokum Rd, Essex, CT 06426-1500 | 2006-05-02 |
| 1154379261 | Steven Mitchell Luster | Orthopaedic Surgery | 12 Bokum Rd, Essex, CT 06426-1500 | 2006-05-04 |
| 1699723742 | Martin Jeffrey White | Orthopaedic Surgery | 12 Bokum Rd, Essex, CT 06426-1500 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427533959 | Somers Orthopaedic Surgery & Sports Medicine Group Pllc | Orthopaedic Surgery | 40 Old Ridgebury Rd Ste 101, Danbury, CT 06810-5119 | 2018-10-01 |
| 1275035610 | Orthoconnecticut, PC | Orthopaedic Surgery | 338 Bantam Rd, Litchfield, CT 06759-3318 | 2018-03-01 |
| 1669995163 | Orthoconnecticut, PC | Orthopaedic Surgery | 323 Riverside Ave, Westport, CT 06880-4810 | 2017-07-18 |
| 1316469927 | Greater Hartford Orthopedic Group, PC | Orthopaedic Surgery | 893 Main St Ste 301, East Hartford, CT 06108-2293 | 2017-07-14 |
| 1871031138 | Robert Joseph Orlandi | Orthopaedic Surgery | 27 Hine Hill Rd (supreme Court Ct & N.y), New Milford, CT 00776 | 2017-02-07 |
| 1013468719 | The Orthopaedic and Sports Medicine Center | Orthopaedic Surgery | 1800 Post Rd E, Westport, CT 06880-5607 | 2016-10-18 |
| 1043666241 | Walter Thomas Shanley | Orthopaedic Surgery | 279a South Trl, Stratford, CT 06614-6131 | 2016-05-06 |
| 1851775035 | Anthony S. D. Parisi | Orthopaedic Surgery | 24 Billow Rd, Niantic, CT 06357-3404 | 2015-07-16 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1700205838 | Kristin Sandrowski | Orthopaedic Surgery | 888 White Plains Rd Ste And106, Trumbull, CT 06611-4552 | 2014-04-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC.
| 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.