Connecticut Foot Care Centers LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

CONNECTICUT FOOT CARE CENTERS LLC

Practice address

51 Burlington Ave
Bristol, CT 06010-4204

Phone

(860) 582-0747

Fax

(860) 585-8124

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Steven Kahn, D.P.M.

Title

Managing Partner

Phone

(860) 563-1200

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1043492903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060670037",
            "telephone_number": "860-563-1200",
            "fax_number": "860-563-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 BURLINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104204",
            "telephone_number": "860-582-0747",
            "fax_number": "860-585-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT FOOT CARE CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "860-563-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C01816",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C01817",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connecticut Community Care Inc
• Connecticut Community Care Inc
• Connecticut CVS Pharmacy LLC
• Connecticut CVS Pharmacy, L.L.C.
• Connecticut CVS Pharmacy, L.L.C.
• Connecticut Orthopaedic Care, LLC
• Elise J Connell-Boudoya, M.D.
• Matthew Connell, PT
• Maureen Ann Consiglio, LPC NCC
• Amber A Corbalis, APRN

• Podiatrist in Bristol, CT
• Providers in Bristol, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.