Active NPI
Plastic Surgery of So CT
- Ambulatory Surgical Clinic/Center
- Westport, CT
National Provider Identifier
1053628883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 024727
- Legal business name
- PLASTIC SURGERY OF SO CT
- Practice address
- 208 Post Rd W
Westport, CT 06880-4604 - Phone
- (203) 454-0044
- Fax
- (203) 454-8675
- NPI assigned
- Aug 31, 2010
- Last updated
- Aug 31, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph B O'Connell, M.D.
- Title
- M.D.
- Phone
- (203) 454-0044
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 024727 | CT | Primary |
Addresses
Primary practice location
208 Post Rd W
Westport, CT 06880-4604
Mailing address
208 Post Rd W
Westport, CT 06880-4604
Phone (203) 454-0044
National Provider Directory
National Provider DirectoryLocations
208 Post Rd W
Westport, CT 06880
Phone (203) 222-1285
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- Westport, CT
- NPI 1467555045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283212800000",
"number": "1053628883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 POST RD W",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804604",
"telephone_number": "203-454-0044",
"fax_number": "203-454-8675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 POST RD W",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804604",
"telephone_number": "203-454-0044",
"fax_number": "203-454-8675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC SURGERY OF SO CT",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-31",
"last_updated": "2010-08-31",
"status": "A",
"authorized_official_last_name": "O'CONNELL",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "203-454-0044",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CT",
"license": "024727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.