NPIMap

Individual provider Active NPI

Joseph Thomas Coyne, MD

  • Anesthesiology Physician
  • Shelton, CT
National Provider Identifier
1356456313
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
051968 Issued in CT
Practice address
2 Trap Falls Rd
Ste 414
Shelton, CT 06484-4616
Phone
(203) 929-7353
Fax
(203) 929-0756
NPI assigned
Aug 20, 2006
Last updated
Dec 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 13343 RI
Anesthesiology Physician 207L00000X 051968 CT Primary
Internal Medicine Physician 207R00000X ML20008555 WA

Addresses

Primary practice location

2 Trap Falls Rd
Ste 414
Shelton, CT 06484-4616

Mailing address

2 Trap Falls Rd
Ste 414
Shelton, CT 06484-4616
Phone (203) 929-7353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131203000375 CT Practitioner - Anesthesiology 7810185972 Reassigns benefits to 1 organization
I20180809005394 MA Practitioner - Anesthesiology 7810185972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Washington School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
051968CTMDAnesthesiology Physician
13343RIMDAnesthesiology Physician
ML20008555WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Anesthesia Service, Inc. Anesthesiology CurrentSince Jun 27, 2018 Accepting new patients
Umass Memorial Medical Group Inc Anesthesiology CurrentSince Jan 13, 2025 Accepting new patients
Integrated Anesthesia Associates LLC Anesthesiology CurrentSince Jul 1, 2013 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jan 13, 2025 Accepting new patients

Locations

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375

2 Trap Falls Rd
Ste 414
Shelton, CT 06484
Phone (203) 929-3537

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

908 Allen St
Springfield, MA 01118
Phone (413) 732-5139

181 Park Ave
Ste 5
West Springfield, MA 01089
Phone (413) 795-7494

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1356456313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD",
            "address_2": "STE 414",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844616",
            "telephone_number": "203-929-7353",
            "fax_number": "203-929-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD",
            "address_2": "STE 414",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844616",
            "telephone_number": "203-929-7353",
            "fax_number": "203-929-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYNE",
        "first_name": "JOSEPH",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "RI",
            "license": "13343",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "051968",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "ML20008555",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.