Active NPI
Fusi and Craig Plastic Surgery, PA
- Specialist
- Guilford, CT
National Provider Identifier
1174996581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- Q5803
- Legal business name
- FUSI AND CRAIG PLASTIC SURGERY, PA
- Practice address
- 5 Durham Rd
Guilford, CT 06437-2076 - Phone
- (203) 458-4444
- Fax
- (203) 458-4447
- NPI assigned
- Nov 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stefano Fusi, MD
- Title
- Owner
- Phone
- (203) 605-0420
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Q5803 | TX | Primary |
Addresses
Primary practice location
5 Durham Rd
Guilford, CT 06437-2076
Mailing address
1544 Sawdust Rd
Suite 280
Spring, TX 77380-2929
Phone (281) 292-7411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5 Durham Rd
Ste 14
Guilford, CT 06437
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Guilford, CT
- NPI 1336185883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446768000000",
"number": "1174996581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1544 SAWDUST RD",
"address_2": "SUITE 280",
"city": "SPRING",
"state": "TX",
"postal_code": "773802929",
"telephone_number": "281-292-7411",
"fax_number": "281-292-7481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 DURHAM RD",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372076",
"telephone_number": "203-458-4444",
"fax_number": "203-458-4447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUSI AND CRAIG PLASTIC SURGERY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-06",
"last_updated": "2015-11-06",
"status": "A",
"authorized_official_last_name": "FUSI",
"authorized_official_first_name": "STEFANO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-605-0420",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "Q5803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.