Active NPI
Christopher Tagliavini, PA-C
- Surgical Physician Assistant
- Bristol, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 3201
- Practice address
- 22 Pine St
Bristol, CT 06010-6948 - Phone
- (860) 584-8291
- Fax
- (860) 584-8354
- NPI assigned
- Sep 23, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 3201 | CT | Primary |
Addresses
Primary practice location
22 Pine St
Bristol, CT 06010-6948
Mailing address
149 Prospect St
Suffield, CT 06078-3006
Phone (860) 584-8291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group, Inc | Current | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Past | Accepting new patients |
Locations
385 W Main St
Avon, CT 06001
Phone (860) 777-1280
22 Pine St
Bristol, CT 06010
Phone (860) 229-8346
22 Pine St
Ste 104
Bristol, CT 06010
Phone (860) 314-2002
280 S Main St
Ste 204
Cheshire, CT 06410
Phone (203) 224-5161
10 Birdseye Rd
Ste 100
Farmington, CT 06032
Phone (860) 678-2683
330 Western Blvd
Ste 200
Glastonbury, CT 06033
85 Seymour St
Ste 416
Hartford, CT 06106
Phone (860) 522-4158
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
455 Lewis Ave
Ste 210
Meriden, CT 06451
Phone (203) 238-1241
100 Grand St
#B
New Britain, CT 06052
330 Washington St
Ste 350
Norwich, CT 06360
Phone (860) 886-1956
201 N Mountain Rd
Ste 201
Plainville, CT 06062
Phone (860) 223-0800
462 Queen St
Ste 203
Southington, CT 06489
Phone (860) 628-3518
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
65 Memorial Rd
Ste 430
West Hartford, CT 06107
Phone (860) 231-0751
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- christopher.tagliavini@xdr.hhchealthdirect.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1720140221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1104228022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 PROSPECT ST",
"city": "SUFFIELD",
"state": "CT",
"postal_code": "060783006",
"telephone_number": "860-584-8291",
"fax_number": "860-584-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 PINE ST",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060106948",
"telephone_number": "860-584-8291",
"fax_number": "860-584-8354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGLIAVINI",
"first_name": "CHRISTOPHER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "3201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.