Michael H Ellsworth (NPI# 1063412518, PAC ID# 9032270459) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1063412518 |
| PAC ID by PECOS | 9032270459 |
| Professional Enrollment ID | I20081204000025 |
| Full Name | Michael H Ellsworth |
| Organization Legal Name | ORTHOPAEDIC ASSOCIATES OF NORTHEASTERN CONNECTICUT, L.L.C. |
| Address |
255 Pomfret St Putnam CT 06260-1835 |
| Phone Number | 8609287939 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1968 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 7113088535 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 255 Pomfret St, Putnam, CT 06260-1835 | 8609287939 | ORTHOPAEDIC ASSOCIATES OF NORTHEASTERN CONNECTICUT, L.L.C. |
| Organization Legal Name | ORTHOPAEDIC ASSOCIATES OF NORTHEASTERN CONNECTICUT, L.L.C. |
| Physicians | 1 |
| Street Address |
255 POMFRET ST |
| City | PUTNAM |
| State | CT |
| Zip | 06260-1835 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noreen A Wallace | Occupational Therapy | 174 Providence St, Putnam, CT 06260-1512 | |
| Gregory Martin Haney | Physical Therapy | 82 Providence St, Putnam, CT 06260-1530 | |
| Frederick A Barks Jr. | Chiropractic | 245 School St, Putnam, CT 06260-1621 | |
| Janet Cutting | Qualified Audiologist | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Lorna Kay Murdock | Nurse Practitioner | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Jane P Whitehead | Qualified Audiologist | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Christopher Charon | Otolaryngology | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Stephen R Kurland | Otolaryngology | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Raja Fattaleh | Family Medicine | 353 Pomfret St, Putnam, CT 06260-1835 | |
| Christopher R Payette | Podiatry | 263 Pomfret St, Putnam, CT 06260-1835 | |
| Find all physicians in zip 06260 | |||
| City | PUTNAM |
| Zip Code | 06260 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | PUTNAM + ORTHOPEDIC SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.