Connecticut Phlebology PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CONNECTICUT PHLEBOLOGY PC

Practice address

1 Sasco Hill Rd Ste 2
Fairfield, CT 06824-5670

Phone

(203) 256-0070

NPI assigned

May 11, 2010

Organization subpart

No

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

Authorized official

Name

Cynthia Jones

Title

Credentialing

Phone

(630) 725-2737

Specialties & licenses 5

Addresses

Other names 1

• Vein Clinics of America Doing business as

Locations

Practitioners 2

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

• Michael Mario Di Iorio, MD

  • Vascular & Interventional Radiology Physician
  • Austin, TX
  • NPI 1720245319

  Phlebology

  NPD (past)
• Sean David McWilliams, MD

  • Phlebology Physician
  • Wheaton, IL
  • NPI 1356323398
  NPD (past)

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1295053502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 SPRING RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605233944",
            "telephone_number": "630-725-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SASCO HILL RD STE 2",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245670",
            "telephone_number": "203-256-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT PHLEBOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "630-725-2737"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein Clinics of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allison Conrad
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• Jane Ann Conway, LCSW

• Surgery Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.