Scoville Prosthetics,Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SCOVILLE PROSTHETICS,INC.

Practice address

197 New Britain Ave
Hartford, CT 06106-3124

Phone

(860) 247-3209

Fax

(860) 247-1994

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Karl Shriel, C.P.

Title

President

Phone

(860) 247-3209

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285636548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 NEW BRITAIN AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063124",
            "telephone_number": "860-247-3209",
            "fax_number": "860-247-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 NEW BRITAIN AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063124",
            "telephone_number": "860-247-3209",
            "fax_number": "860-247-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOVILLE PROSTHETICS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHRIEL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-247-3209",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEN BC/BS OF CT.",
            "identifier": "12DME0481CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4012258",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryellen Thomson Sciallo, LCSW
• Marina Sciucco, APRN
• Scott Bernstein, MD, LLC
• D. Dawson Scott, PA-C
• Juanita Verona Scott, APRN
• Shona Scribner
• Sharon Maureen Scrivano, APRN, FNP
• Andrea Seals, LMSW
• Jillian Bridget Searle, PHARMD
• Scott Sears I

• Prosthetic/Orthotic Supplier in Hartford, CT
• Providers in Hartford, CT by specialty
• Prosthetic/Orthotic Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.