CHELSEA SURGICAL CARE LLC (NPI# 1750307336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750307336 |
| Entity Type | Organization |
| Organization Name | CHELSEA SURGICAL CARE LLC |
| Practice Address |
330 Washington St Suite 420 Norwich CT 06360-2700 |
| Practice Telephone | 8608860660 |
| Practice Fax Number | 8608869305 |
| Mailing Telephone | 8608860660 |
| Mailing Fax Number | 8608869305 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2011-07-19 |
| Authorized Official Name | DR. JOHN WESOLEK (PARTNER) |
| Authorized Official Telephone | 8608860660 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 23658 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004182680 | 05 | |
| CT | BCBS | 50CHELSEACT01 | 01 |
| CT | MEDICARE RAILROAD | CI9443 | 01 |
| Street Address |
330 WASHINGTON ST SUITE 420 |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447247788 | Olimpia A Radu | Internal Medicine | 330 Washington St, Ste 430, Norwich, CT 06360-2700 | 2005-10-03 |
| 1912458704 | Allan Dierman | Nurse Practitioner | 330 Washington St, Suite 510, Norwich, CT 06360-2700 | 2016-10-17 |
| 1528467016 | Lisa Decarlo | Nurse Practitioner | 330 Washington St, Suite 510, Norwich, CT 06360-2700 | 2014-08-20 |
| 1952700197 | Maura Theresa Forte | Nurse Practitioner | 330 Washington St, Suite 510, Norwich, CT 06360-2700 | 2014-08-13 |
| 1497012520 | Erin Marie Loughery | Nurse Practitioner | 330 Washington St, Suite 350, Norwich, CT 06360-2700 | 2012-04-13 |
| 1003047481 | Melody Mukon | Physician Assistant | 330 Washington St, Suite 220, Norwich, CT 06360-2700 | 2009-08-03 |
| 1306083142 | Eastern Connecticut Neurosurgery, P.C. | Neurological Surgery | 330 Washington St, Suite 540, Norwich, CT 06360-2700 | 2009-01-15 |
| 1801032784 | Ct Podiatry & Foot Surgery, LLC | Podiatrist | 330 Washington St, Suite 310, Norwich, CT 06360-2700 | 2008-12-26 |
| 1700042900 | Joanne Cantor Friedman | Nurse Practitioner | 330 Washington St, Suite 350, Norwich, CT 06360-2700 | 2008-08-06 |
| 1447415815 | Generations Family Health Center, Inc. | Clinic/Center | 330 Washington St, Ste 510, Norwich, CT 06360-2700 | 2008-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245452812 | Vascular Associates | Surgery | 33o Washington Street, Suite 410, Norwich, CT 06360 | 2007-05-03 |
| 1982728101 | John A Pagnozzi Md LLC | Surgery | 86 New London Turnpike, Norwich, CT 06360 | 2007-03-16 |
| 1073697165 | Parker J Ward Jr. | Surgery | 157 East Main Street, Norwich, NY 13815 | 2006-10-25 |
| 1942467352 | Christy Ann Stanat | Surgery | 12 Case St, Norwich, CT 06360-2222 | 2008-05-22 |
| 1760540397 | Surgical Associates of Norwich LLC | Surgery | 330 Washington St, Suite 520, Norwich, CT 06360 | 2006-12-05 |
| 1942378005 | Larry Coletti | Surgery | 326 Washington St, Norwich, CT 06360-2740 | 2006-11-30 |
| 1417035338 | Sergio R Casillas-romero | Surgery | 12 Case St, Suite 313, Norwich, CT 06360-2222 | 2006-11-01 |
| 1457433666 | Jamal K Kacyrat | Surgery | 26 Conkey Ave, Suite 301, Norwich, NY 13815 | 2006-10-19 |
| 1598864563 | John A Pagnozzi | Surgery | 86 New London Tpke, Norwich, CT 06360-2616 | 2006-09-22 |
| 1699711028 | Mark Edward Tramontozzi | Surgery | 330 Washington St, Suite 520, Norwich, CT 06360-2700 | 2006-06-22 |
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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.