Shaws Cove Orthopaedics, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

000371 Issued in CT

Legal business name

SHAWS COVE ORTHOPAEDICS, LLC

Practice address

6 Shaws CV
Suite 101
New London, CT 06320-4969

Phone

(860) 444-9022

Fax

(860) 444-7768

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey A Miller, D.O.NPI 1184692162

Title

President/Owner

Phone

(860) 444-9022

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 7

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

• Jeffrey Adam Miller, D.O.

  • Orthopaedic Surgery Physician
  • New London, CT
  • NPI 1184692162
  Medicare reassignment Authorized official
• Paul Robert Bourguignon, M.D.

  • Vascular Surgery Physician
  • New London, CT
  • NPI 1154372175
  NPD (past)
• James C. Kelly, M.D.

  • Orthopaedic Surgery Physician
  • New London, CT
  • NPI 1447289004
  NPD (past)
• Adam Morgan, PT

  • Physical Therapist
  • Glastonbury, CT
  • NPI 1356353809
  NPD (past)
• Sepehr Sajjad, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • New London, CT
  • NPI 1972772556

  Multi-Specialty

  NPD (past)
• Frank J Toole III, PA

  • Medical Physician Assistant
  • Westerly, RI
  • NPI 1093777302
  NPD (past)
• Chadwick Wu, MD

  • Plastic and Reconstructive Surgery Physician
  • Irvine, CA
  • NPI 1558414227
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1275554222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SHAWS CV",
            "address_2": "SUITE 101",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204969",
            "telephone_number": "860-444-9022",
            "fax_number": "860-444-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SHAWS CV",
            "address_2": "SUITE 101",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204969",
            "telephone_number": "860-444-9022",
            "fax_number": "860-444-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWS COVE ORTHOPAEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "860-444-9022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "000371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1184692162",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Edward Sergiy III, RPH
• Aimee M Sevigny Krenicki, ATC, PES
• Lori Ann Sfakios, APRN
• Kelsey Leigh Shadick, PHARMD
• Andrea Shaker, MA
• Maureen F Shea, LPC
• William Edwin Shea, PA-C
• Lena Shearer
• Erica Sheehan, PA-C
• Jeanne F Sheehan, L.C.S.W.

• Orthopaedic Surgery Physician in New London, CT
• Providers in New London, CT by specialty
• Orthopaedic Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.

Verify at the official NPI Registry.