Timothy Lassiter, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

23.003443 Issued in CT

Practice address

2909 Berlin Tpke
Newington, CT 06111-4115

Phone

(860) 436-3757

NPI assigned

Oct 6, 2015

Last updated

Oct 6, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hartford Healthcare Medical Group, Inc

  dba Hartford HealthCare Medical Group

  • Surgery Physician
  • Wethersfield, CT
  • NPI 1043561301

  Physician Assistant

  Medicare reassignment NPD
• Premier Healthcare Services of Connecticut LLC

  dba Premier Urgent Care

  • Urgent Care Clinic/Center
  • Newington, CT
  • NPI 1336494830
  NPD (past)
• Urgent Care Medical Center LLC

  dba Priority Urgent Care

  • Urgent Care Clinic/Center
  • Ellington, CT
  • NPI 1295186286
  NPD (past)

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1235509050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 BERLIN TPKE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114115",
            "telephone_number": "860-436-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 BERLIN TPKE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114115",
            "telephone_number": "860-436-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSITER",
        "first_name": "TIMOTHY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "23.003443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Landers, PT
• Annette Langevin, PT
• Lisa Lanteri, PT
• Daniel Lantos, RN
• Margaret Anne Larabee, APRN
• Christopher Lathrop, OT
• Anthony Laurenitis, DPT
• Brian Lavado, PT, DPT
• Kendra Stout Lawrence, MD
• Elaina Nicole Layden-Borrelli, LPC

• Physician Assistant in Newington, CT
• Providers in Newington, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.