Organization Active NPI

Surgery and Spa Services LLC

  • Specialist
  • New Haven, CT
National Provider Identifier
1346609906
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25247 Issued in CT
Legal business name
SURGERY AND SPA SERVICES LLC
Practice address
330 Orchard Street
Suite 211
New Haven, CT 06511-4429
Phone
(203) 562-7689
Fax
(203) 777-0759
NPI assigned
Feb 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Dr. John Frederick Schmidt, MD
Title
Owner
Phone
(203) 562-7689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25247 CT Primary

Addresses

Primary practice location

330 Orchard Street
Suite 211
New Haven, CT 06511-4429

Mailing address

3 Caleb Court
Guilford, CT 06437
Phone (203) 562-7689

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1346609906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CALEB COURT",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "06437",
            "telephone_number": "203-562-7689",
            "fax_number": "203-777-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ORCHARD STREET",
            "address_2": "SUITE 211",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114429",
            "telephone_number": "203-562-7689",
            "fax_number": "203-777-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY AND SPA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-562-7689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "25247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.