Vasectomy Center of Connecticut, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

040285 Issued in CT

Legal business name

VASECTOMY CENTER OF CONNECTICUT, LLC

Practice address

2800 Tamarack Rd
Suite 108
South Windsor, CT 06074-5539

Phone

(860) 430-5773

Fax

(860) 430-5773

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Scott Daniel Matson, M.D.NPI 1275502916

Title

President

Phone

(860) 430-5773

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

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

• Scott Matson, MD

  • Urology Physician
  • South Windsor, CT
  • NPI 1275502916
  NPD (past) Authorized official

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1043477045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "EAST GLASTONBURY",
            "state": "CT",
            "postal_code": "060250010",
            "telephone_number": "860-430-5773",
            "fax_number": "860-430-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 TAMARACK RD",
            "address_2": "SUITE 108",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060745539",
            "telephone_number": "860-430-5773",
            "fax_number": "860-430-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASECTOMY CENTER OF CONNECTICUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "MATSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-430-5773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CT",
            "license": "040285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7190376",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8711289",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001402859",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "040285",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tyler Veretto, DC
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• Urology Physician in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Urology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.