NPIMap

Organization Active NPI

Norwich Anesthesia Associates, PC

  • Anesthesiology Physician
  • Norwich, CT
National Provider Identifier
1114965035
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NORWICH ANESTHESIA ASSOCIATES, PC
Practice address
326 Washington St
Anesthesia Department
Norwich, CT 06360-2740
Phone
(860) 823-6395
Fax
(860) 823-6563
NPI assigned
Jun 3, 2006
Organization subpart
No

Practitioners 57

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

View all 57

National Provider Directory

National Provider Directory

Locations

99 E River Dr
Fl 5
Hartford, CT 06108
Phone (860) 282-4022

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Dr. James D'Amato, MDNPI 1114929031
Title
President
Phone
(860) 823-6395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

326 Washington St
Anesthesia Department
Norwich, CT 06360-2740

Mailing address

99 E River Dr
5TH Floor , Attn Credentialing
East Hartford, CT 06108-3288
Phone (860) 282-4022

Other identifiers 2

IdentifierTypeStateIssuer
004199327OtherCTMEDICAID APRN GROUP #
004054763MedicaidCT

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1114965035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E RIVER DR",
            "address_2": "5TH FLOOR , ATTN CREDENTIALING",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083288",
            "telephone_number": "860-282-4022",
            "fax_number": "860-282-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 WASHINGTON ST",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602740",
            "telephone_number": "860-823-6395",
            "fax_number": "860-823-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWICH ANESTHESIA ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "D'AMATO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-823-6395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID APRN GROUP #",
            "identifier": "004199327",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004054763",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.