NPIMap

Organization Active NPI

Litchfield County Foot Clinic & Surgery Center, P.C.

  • Podiatrist
  • Torrington, CT
National Provider Identifier
1023088846
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000032 Issued in CT
Legal business name
LITCHFIELD COUNTY FOOT CLINIC & SURGERY CENTER, P.C.
Practice address
95 New Litchfield St
Torrington, CT 06790-6414
Phone
(860) 489-1661
Fax
(860) 489-5147
NPI assigned
Jan 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert T Crovo, DPM
Title
Dr
Phone
(860) 489-1661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 000032 CT Primary

Addresses

Primary practice location

95 New Litchfield St
Torrington, CT 06790-6414

Mailing address

95 New Litchfield St
Torrington, CT 06790-6414
Phone (860) 489-1661

Other identifiers 3

IdentifierTypeStateIssuer
030000032CT02OtherANTHEM
004006490MedicaidCT
480069612OtherCTRAILROAD

National Provider Directory

National Provider Directory

Locations

95 New Litchfield St
Torrington, CT 06790
Phone (860) 482-6513

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1023088846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 NEW LITCHFIELD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906414",
            "telephone_number": "860-489-1661",
            "fax_number": "860-489-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 NEW LITCHFIELD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906414",
            "telephone_number": "860-489-1661",
            "fax_number": "860-489-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITCHFIELD COUNTY FOOT CLINIC & SURGERY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "CROVO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "860-489-1661",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "030000032CT02",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004006490",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "480069612",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.