Connecticut Ambulatory Anesthesia, PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

CONNECTICUT AMBULATORY ANESTHESIA, PLLC

Practice address

863 N Main Street Ext Ste 301
Wallingford, CT 06492-2434

Phone

(203) 269-0885

Fax

(203) 269-3496

NPI assigned

Sep 10, 2017

Last updated

Sep 10, 2017By 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

Mr. William Joseph Sheetz, CRNA

Title

Partner

Phone

(203) 509-3966

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gino Hermano Ang, MD

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1659355634
  NPD (past)

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505001600000",
    "number": "1447779582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BITTERSWEET LN",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181202",
            "telephone_number": "203-606-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 N MAIN STREET EXT STE 301",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922434",
            "telephone_number": "203-269-0885",
            "fax_number": "203-269-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT AMBULATORY ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-10",
        "last_updated": "2017-09-10",
        "status": "A",
        "authorized_official_last_name": "SHEETZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-509-3966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Anesthesiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2017; 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.