Circulatory Centers Connecticut, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

039899 Issued in CT

Legal business name

CIRCULATORY CENTERS CONNECTICUT, LLC

Practice address

4 Huntley Rd
Suite 1
Old Lyme, CT 06371-1449

Phone

(860) 434-4073

Fax

(860) 434-4635

NPI assigned

May 24, 2011

Last updated

Sep 20, 2016By 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. Louis Michael Certo, M.D.

Title

Medical Director

Phone

(412) 967-9220

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1326331471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 CHURCHILL HUBBARD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051375",
            "telephone_number": "330-759-6750",
            "fax_number": "330-759-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HUNTLEY RD",
            "address_2": "SUITE 1",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711449",
            "telephone_number": "860-434-4073",
            "fax_number": "860-434-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCULATORY CENTERS CONNECTICUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "CERTO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "412-967-9220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "005169",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "039899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Fitzgerald Briscoe
• Mercedes Maria Buckingham
• Gabriell Budoff, AGNP-C
• Cambi Pediatrics, PLLC
• Kathryn M Cambi, MD
• Nicole Sun Cirilli, MS, RD, CDN
• Karen Ann Claise, NP
• Elizabeth Jane Clark, D.D.S.
• William Clinton, LICENSED OPTICIAN
• Anthony Albert Corrao, D.D.S.

• General Practice Physician in Old Lyme, CT
• Providers in Old Lyme, CT by specialty
• General Practice Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.