CONNECTICUT VASCULAR SURGICAL ASSOCIATES, PC


Address: 100 Beard Sawmill Rd Ste 250, Shelton, CT 06484-6150
Phone: 2039227870

CONNECTICUT VASCULAR SURGICAL ASSOCIATES, PC (NPI# 1801805403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801805403
Entity Type Organization
Organization Name CONNECTICUT VASCULAR SURGICAL ASSOCIATES, PC
Practice Address 100 Beard Sawmill Rd Ste 250
Shelton
CT 06484-6150
Mailing Address 501 Kings Hwy E
Suite 112
Fairfield
CT 06825-4867
Practice Telephone 2039227870
Practice Fax Number 2039227872
Mailing Telephone 2033821900
Mailing Fax Number 2033820019
Enumeration Date 2006-08-05
Last Update Date 2019-10-17
Authorized Official Name SETH BARAK BLATTMAN (PRESIDENT)
Authorized Official Telephone 2039227870
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 004198489 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
100 Beard Sawmill Rd Ste 250, Shelton, CT 064846150 2039227870 2039227872
501 Kings Hwy E, Suite 112, Fairfield, CT 068254867 2033821900 2033820019

Office Location

Street Address 100 BEARD SAWMILL RD STE 250
City SHELTON
State CT
Zip Code 06484-6150

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447664461 Hannah Zwibelman Surgery 100 Beard Sawmill Rd Ste 250, Shelton, CT 06484 2014-06-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255949517 Judy Ports Speech-Language Pathologist 100 Bear Sawmill Rd, Shelton, CT 06484 2020-07-22
1144793340 Theodore N. Zengou Pharmacist 875 Bridgeport Av., Shelton, CT 06484 2019-01-10
1194215046 Brightview Shelton LLC Alzheimer Center (Dementia Center) 30 Beard Sawmill Road, Shelton, CT 06484 2018-05-16
1477071264 Emily Buccigross Specialist/Technologist 941 Constitution Blvd N, Shelton, CT 06484 2017-09-01
1134649643 Margaret Grace Ferrara Dentist 4 Corporate Dr Ste 383, Shelton, CT 06484 2017-06-26
1376092007 Qmg3 LLC Family Medicine 405 Bridgeport Avenue, Shelton, CT 06484 2016-09-22
1215316427 Marcella N. Sancho, Lcsw, LLC Social Worker 4 Research Drive, Suite 402, Shelton, CT 06484 2015-05-20
1578987483 Lisa Sych Speech-Language Pathologist 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 2014-02-12
1073936324 Jeanne M. Kellogg Occupational Therapy Assistant 36 Fairlane Dr., Shelton, CT 06484 2014-01-22
1851724454 Brittany Steiner Behavioral Analyst 26 Pound Ridge Ave, Shelton, CT 06484 2013-08-19
Find all providers in zip 06484

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447664461 Hannah Zwibelman Surgery 100 Beard Sawmill Rd Ste 250, Shelton, CT 06484 2014-06-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336748953 Usa Vascular Center of Connecticut Pllc Surgery 2284 Summer St, Stamford, CT 06905-4503 2020-10-23
1245839869 Usa Vein Clinics of Connecticut Pllc Surgery 2284 Summer St Ste A, Stamford, CT 06905-4503 2020-10-23
1326385428 Hossein L. Tehrani Surgery 49 East Hyerdale Drive, Goshen, CT 06756 2013-01-09
1922368810 Megan Fritton Shue Surgery 540 Saybrook Rd Ste 210, Middletown, CT 06457-4759 2012-05-24
1932474053 John E. Fenn Surgery 200 Leeder Hill Drive, #2603, Hamden, CT 06517 2012-03-22
1033366745 Naiem Nassiri Surgery Yale University, 330 Cedar Street, Boardman Building 204, New Haven, CT 06510 2008-08-25
1407989569 Christos G. Pappas Surgery 372 Danbury Rd Ste 220, Wilton, CT 06897-2523 2007-03-14
1477610913 Stephen Marc Bauer Surgery 455 East Putnam Ave, Old Greenwich, CT 06870 2007-01-03
1114019098 William Gething Crawford Surgery 21 Montauk Ave Ste 303, New London, CT 06320-4906 2006-09-29
1083713416 Raul J. Guzman Surgery 330 Cedar St Bldg 204, New Haven, CT 06510 2006-09-22
Find all providers with the same taxonomy

Competitor

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City SHELTON
Zip Code 06484

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Dataset Information

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.

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