Active NPI
Robert Satterlee Wetmore, M.D.
- Orthopaedic Surgery Physician
- Waterbury, CT
National Provider Identifier
1184688376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 23619
- Practice address
- 133 Scovill St Ste 308
Waterbury, CT 06706-1127 - Phone
- (203) 709-6680
- NPI assigned
- Apr 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 023619 | CT | |
| Orthopaedic Surgery Physician | 207X00000X | 23619 | CT | Primary |
Addresses
Primary practice location
133 Scovill St Ste 308
Waterbury, CT 06706-1127
Mailing address
1579 Straits Tpke
Ste E1
Middlebury, CT 06762-1835
Phone (203) 758-1760
Other practice location 1
1579 Straits Tpke
ste E1
Middlebury, CT 06762-1835
Phone (203) 758-1760
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03-69411 | Other | CT | AMERICHOICE |
| 010023619CT04 | Other | CT | ANTHEM BCBS CT |
| 2V7019 | Other | CT | HEALTHNET/COMMERCIAL |
| P3715679 | Other | CT | OXFORD |
| PENDING | Other | CT | RR MEDICARE |
| 1066903 | Other | CT | USA |
| 1427808/4226785 | Other | CT | AETNA |
| 419532 | Other | CT | WELLCARE |
| 03-69411 | Other | CT | UHC |
| 001236199 | Medicaid | CT | |
| 023619 | Other | CT | CONNECTICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rwetmore222183@direct.stfranciscare.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023619 | CT | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1184688376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1579 STRAITS TPKE",
"address_2": "STE E1",
"city": "MIDDLEBURY",
"state": "CT",
"postal_code": "067621835",
"telephone_number": "203-758-1760",
"fax_number": "203-758-8838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 SCOVILL ST STE 308",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061127",
"telephone_number": "203-709-6680"
}
],
"practiceLocations": [
{
"address_1": "1579 Straits Tpke",
"address_2": "ste E1",
"address_purpose": "LOCATION",
"city": "Middlebury",
"state": "CT",
"postal_code": "067621835",
"country_code": "US",
"telephone_number": "203-758-1760",
"fax_number": "203-758-8838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WETMORE",
"first_name": "ROBERT",
"middle_name": "SATTERLEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "023619",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CT",
"license": "23619",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "03-69411",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS CT",
"identifier": "010023619CT04",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET/COMMERCIAL",
"identifier": "2V7019",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3715679",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "PENDING",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA",
"identifier": "1066903",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1427808/4226785",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "419532",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "03-69411",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001236199",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "023619",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rwetmore222183@direct.stfranciscare.org",
"affiliation": "N",
"endpointDescription": "CT Direct email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "133 Scovill St Ste 308",
"city": "Waterbury",
"state": "CT",
"country_code": "US",
"postal_code": "067061127",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.