Bristol Orthopaedics LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

BRISTOL ORTHOPAEDICS LLC

Practice address

641 Clark Ave
Bristol, CT 06010-4068

Phone

(860) 582-6603

Fax

(860) 585-9245

NPI assigned

Dec 6, 2005

Organization subpart

No

Name

Mr. Scott W Organ, MDNPI 1356329155

Title

MD Partner

Phone

(860) 582-6603

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

• Scott W Organ, MD

  • Orthopaedic Surgery Physician
  • Bristol, CT
  • NPI 1356329155

  CT, Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Michael E Cucka, MD

  • Orthopaedic Surgery Physician
  • Bristol, CT
  • NPI 1942285242

  CT, Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Amy Jo Sheketoff, PT, DPT

  • Physical Therapist
  • Bristol, CT
  • NPI 1104437607

  CT

  Medicare reassignment NPD
• Sara Jane Tine

  • Physical Therapist
  • New Haven, CT
  • NPI 1366848962

  CT

  Medicare reassignment NPD
• Brian J Magnano

  • Physical Therapist
  • Bristol, CT
  • NPI 1740267319
  NPD (past)
• Timothy Patrick McLaughlin

  • Specialist
  • Bristol, CT
  • NPI 1710960646
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 2, 2021.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1104800788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 CLARK AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104068",
            "telephone_number": "860-582-6603",
            "fax_number": "860-585-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 CLARK AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104068",
            "telephone_number": "860-582-6603",
            "fax_number": "860-585-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL ORTHOPAEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "ORGAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MD PARTNER",
        "authorized_official_telephone_number": "860-582-6603",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swjomd@comcast.net",
            "affiliation": "N",
            "endpointDescription": "641  Clark Ave Bristol CT 06010",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "'CCD'",
            "address_1": "641 Clark Ave Ste B",
            "city": "Bristol",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060104068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Bristol Pharmacy LLC
• Bristol Physical Therapy, LLC
• Bristol Plaza Family Dental
• Bristol Primary Care LLC

• All providers in Bristol, CT
• Orthopaedic Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.