Surgical Specialties of Eastern CT LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

020769 Issued in CT

Legal business name

SURGICAL SPECIALTIES OF EASTERN CT LLC

Practice address

116 E Center St
Suite 14
Manchester, CT 06040-5215

Phone

(860) 646-8457

Fax

(860) 646-6388

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Harry Anderson, MD

Title

MD

Phone

(860) 646-2457

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Christopher M Bulger, MD

  • Vascular Surgery Physician
  • South Windsor, CT
  • NPI 1700922218
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356411284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E CENTER ST STE 14",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405215",
            "telephone_number": "860-646-8457",
            "fax_number": "860-646-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E CENTER ST",
            "address_2": "SUITE 14",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405215",
            "telephone_number": "860-646-8457",
            "fax_number": "860-646-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALTIES OF EASTERN CT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "860-646-2457",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CT",
            "license": "020769",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CT",
            "license": "043351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supportive Counseling Services
• Surgical & Medical Ophthalmology LLC
• Surgical and Medical Ophthalmology, LLC
• Surgical and Medical Ophthamology LLC
• Surgical Associates of Eastern Connecticut LLC
• Jonathan Michael Sutkitis
• Colleen Bozena Svystun, APRN
• Mallorie K Swabby
• Venkata K Swami, B.PHARMACY
• Katharine Elisabeth Sweeney

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.