Active NPI
Orthopedic Associates of Central Connecticut, PC
- Orthopaedic Surgery Physician
- Bloomfield, CT
National Provider Identifier
1285676825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPEDIC ASSOCIATES OF CENTRAL CONNECTICUT, PC
- Practice address
- 510 Cottage Grove Rd
Bloomfield, CT 06002 - Phone
- (860) 243-1414
- Fax
- (860) 286-0510
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven E. Selden, M.D.
- Title
- President
- Phone
- (860) 243-1414
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
510 Cottage Grove Rd
Bloomfield, CT 06002
Mailing address
510 Cottage Grove Rd
Bloomfield, CT 06002-3123
Phone (860) 243-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004001681 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
510 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 243-1414
510 Cottage Grove Rd
Lowr
Bloomfield, CT 06002
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Bloomfield, CT
- NPI 1255377586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533859200000",
"number": "1285676825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 COTTAGE GROVE RD",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023123",
"telephone_number": "860-243-1414",
"fax_number": "860-286-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 COTTAGE GROVE RD",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "06002",
"telephone_number": "860-243-1414",
"fax_number": "860-286-0510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC ASSOCIATES OF CENTRAL CONNECTICUT, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2018-08-10",
"status": "A",
"authorized_official_last_name": "SELDEN",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-243-1414",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004001681",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.