Organization Active NPI

Plastic Surgery of So CT

  • Ambulatory Surgical Clinic/Center
  • Westport, CT
National Provider Identifier
1053628883
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
024727 Issued in CT
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

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.

Verify at the official NPI Registry.