Windham Orthopaedics Prof Corp

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

WINDHAM ORTHOPAEDICS PROF CORP

Practice address

111 Hazard Ave
Enfield, CT 06082-4590

Phone

(860) 749-8361

Fax

(860) 749-2004

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Montano Papa

Title

Office Manager

Phone

(860) 749-9325

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• enfield orthopaedics Doing business as

Locations

Practitioners 1

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

• Carmine Ciccarelli, MD

  • Orthopaedic Surgery Physician
  • Enfield, CT
  • NPI 1285615393
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1326239096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824590",
            "telephone_number": "860-749-8361",
            "fax_number": "860-749-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824590",
            "telephone_number": "860-749-8361",
            "fax_number": "860-749-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM ORTHOPAEDICS PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "PAPA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MONTANO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-749-9325",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004054722",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "enfield orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandria Willet
• William R. Cummiskey, DDS, LLC
• Brandy R. Williams, M.S., LMFT
• Michael John Williams
• Tara Williams, MSN, APRN, ANP-BC
• Kristen Winkle
• Kristen E Winters, DPM
• Megan Witwer, PT
• Karolina Maria Wlaz, PA-C
• Deanna Wohlers

• Orthopaedic Surgery Physician in Enfield, CT
• Providers in Enfield, 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 Jan 19, 2012; 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.