Orthopedic Associates of Hartford,PC
Organization Active NPI Orthopaedic Surgery Physician · Hartford, CT
NPI 1124325980 · NPPES record last updated Feb 14, 2011
Key facts
- NPI
- 1124325980
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- ORTHOPEDIC ASSOCIATES OF HARTFORD,PC
- Practice address
- 1000 Asylum Ave
Suite 4301
Hartford, CT 06105-1770 - Phone
- (860) 549-3210
- Fax
- (860) 247-3803
- NPI assigned
- Feb 14, 2011
- Organization subpart
- No
Authorized official
- Name
- David J Mudano
- Title
- Chief Finanical Officer
- Phone
- (860) 549-8279
Other NPIs on the same Medicare enrollment 9
Corporate family (same tax ID) 22
Practitioners 11
-
Amy Beth Brower, PA
-
Willie J Levesque, PA-C, D.C.
-
Durgesh G Nagarkatti, M.D.
-
Kaitlin Shaughnessy, PA-C
-
Mark Shekhman, M.D.
-
Len Sullivan, PA
-
James Vreeland, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040521000458 | CT | Part B Supplier - Clinic/Group Practice | 1850382409 |
Receives reassigned benefits from 135 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bloomfield, CT; Wethersfield, CT; Stamford, CT; South Windsor, CT; Rocky Hill, CT; Plainville, CT; Newington, CT; New Britain, CT… |
National Provider Directory
- Tax ID family
- Orthopedic Associates
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | CT | Yes |
Addresses
Primary practice location
1000 Asylum Ave
Suite 4301
Hartford, CT 06105-1770
Mailing address
270 Farmington Ave
Suite 102
Farmington, CT 06032-1909
Phone (860) 549-8276
Other providers in Hartford, CT
- Elchanan Orlansky
- Myles Stephen Oros
- Andrea Dahlman Orsey
- Carol M Ortega
- Laura Ortegon
- Orthopedic Associates of Hartford,PC
- Orthopedic Associates of Hartford,PC
- Orthopedic Associates of Hartford,PC
- Orthopedic Associates of Hartford,PC
- Alexandra Ortique
All providers in Hartford, CT · Orthopaedic Surgery Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.