Middlebury Surgical, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

026458 Issued in CT

Legal business name

MIDDLEBURY SURGICAL, LLC

Practice address

687 Straits Tpke
Suite 2a
Middlebury, CT 06762-2846

Phone

(203) 598-0235

Fax

(203) 598-0238

NPI assigned

Apr 22, 2008

Last updated

Apr 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Giiuseppe Tripodi, M.D.

Title

Owner

Phone

(203) 598-0235

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Tripodi, MD

  • Vascular Surgery Physician
  • Middlebury, CT
  • NPI 1386628964
  Medicare reassignment NPD
• Jaime Strachan, M.D.

  • Vascular Surgery Physician
  • Watertown, CT
  • NPI 1013953777
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1316111271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 STRAITS TURNPIKE",
            "address_2": "SUITE 2A",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622846",
            "telephone_number": "203-598-0235",
            "fax_number": "203-598-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 STRAITS TPKE",
            "address_2": "SUITE 2A",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622846",
            "telephone_number": "203-598-0235",
            "fax_number": "203-598-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEBURY SURGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "TRIPODI",
        "authorized_official_first_name": "GIIUSEPPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-598-0235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "026458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Meger, MS, ATC, PA-C
• Kilah Mendes, DPT
• Middlebury Convalescent Home, Inc.
• Middlebury Dental Group PLLC
• Middlebury Smiles PLLC
• Middlebury Volunteer Fire Department Inc
• Magdy G Mikaiel, DDS
• W Kenneth Miner, PA
• Amanda Montoni
• David Morin, LMFT

• Specialist in Middlebury, CT
• Providers in Middlebury, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.