COMPREHENSIVE ORTHOPEDICS & MUSCULOSKELETAL CARE LLC (NPI# 1790844330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790844330 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE ORTHOPEDICS & MUSCULOSKELETAL CARE LLC |
| Practice Address |
863 North Main St Ext Ste 200 Wallingford CT 06492 |
| Practice Telephone | 2037416547 |
| Practice Fax Number | 2037416575 |
| Mailing Telephone | 2037416547 |
| Mailing Fax Number | 2037416575 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | MRS. CINDY BOVA (HUMAN RESOURCES MANAGER) |
| Authorized Official Telephone | 2032653280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
863 NORTH MAIN ST EXT STE 200 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862632 | Mark A Marieb | Internal Medicine | 863 North Main St Ext, Suite 101, Wallingford, CT 06492 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| 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 |
|---|---|---|---|---|
| 1407879521 | Jeffrey T Pravda | Orthopaedic Surgery | 863 N. Main St. Ext., Suite 200, Wallingford, CT 06492-1832 | 2006-07-26 |
| 1598747602 | Alfredo Luis Axtmayer | Orthopaedic Surgery | 8 Research Pkwy, Wallingford, CT 06492-1929 | 2005-11-15 |
| 1659816627 | Docaxt, Inc | Orthopaedic Surgery | 85 Barnes Rd, Suite 301, Wallingford, CT 06492-1832 | 2016-12-30 |
| 1366731069 | Craig R. Foster, Md, LLC | Orthopaedic Surgery | 8 Research Pkwy, Wallingford, CT 06492-1930 | 2011-04-04 |
| 1477713998 | Keith P Aldrich | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2008-06-10 |
| 1215194105 | Aaron Saul Covey | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2008-05-19 |
| 1740481514 | Alfredo L. Axtmayer M.d. P.C. | Orthopaedic Surgery | 8 Research Pkwy, Wallingford, CT 06492-1929 | 2007-05-30 |
| 1346263456 | Leonard A Kolstad | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2006-07-26 |
| 1386667574 | Jon C Driscoll | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2006-07-26 |
| 1275554438 | Ronald S Paret | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2006-07-22 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
Please comment or provide details below to improve the information on COMPREHENSIVE ORTHOPEDICS & MUSCULOSKELETAL CARE LLC.
| 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.