Orthopedic Associates of Hartford,PC

Organization Active NPI Orthopaedic Surgery Physician · Rocky Hill, CT

NPI 1184731366 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1184731366
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
ORTHOPEDIC ASSOCIATES OF HARTFORD,PC
Practice address
1111 Cromwell Ave
Suite 301
Rocky Hill, CT 06067-3449
Phone
(860) 549-3210
Fax
(860) 247-3803
NPI assigned
Aug 24, 2006
Organization subpart
No

Authorized official

Name
David J Mudano
Title
Chief Financial Officer
Phone
(860) 549-8279

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 2

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207X00000X CT Yes

Addresses

Primary practice location

1111 Cromwell Ave
Suite 301
Rocky Hill, CT 06067-3449

Mailing address

270 Farmington Ave
Suite 102
Farmington, CT 06032-1909
Phone (860) 549-8276

Other providers in Rocky Hill, CT

All providers in Rocky Hill, CT · Orthopaedic Surgery Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.