NPIMap

Organization Active NPI

Neurosurgery, Orthopaedics & Spine Specialists, PC

  • Neurological Surgery Physician
  • Shelton, CT
National Provider Identifier
1467082966
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSURGERY, ORTHOPAEDICS & SPINE SPECIALISTS, PC
Practice address
2 Ivy Brook Rd
Shelton, CT 06484-6416
Phone
(203) 755-6677
Fax
(203) 755-7166
NPI assigned
Jan 23, 2020
Last updated
Jan 23, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
NEUROSURGERY, ORTHOPAEDICS & SPINE SPECIALISTS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Mr. William Godburn
Title
Chief Operating Officer
Phone
(203) 755-6677

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary
Orthopaedic Surgery Physician 207X00000X NU

Addresses

Primary practice location

2 Ivy Brook Rd
Shelton, CT 06484-6416

Mailing address

2 Ivy Brook Rd
Shelton, CT 06484-6416
Phone (203) 755-6677

Other names 2

  • NOSS Other name
  • Neurosurgery, Orthopaedics & Spine Specialists, PC Other name

National Provider Directory

National Provider Directory
Part of
Neurosurgery Associates

Locations

1154 Highland Ave
Cheshire, CT 06410
Phone (203) 679-3533

765 W Johnson Ave
Cheshire, CT 06410
Phone (860) 378-8228

81 Meriden Ave
Ste C301
Southington, CT 06489
Phone (860) 378-8228

160 Robbins St
Ste 1
Waterbury, CT 06708
Phone (203) 709-4300

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1467082966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 IVY BROOK RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846416",
            "telephone_number": "203-755-6677",
            "fax_number": "203-755-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 IVY BROOK RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846416",
            "telephone_number": "203-755-6677",
            "fax_number": "203-755-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGERY, ORTHOPAEDICS & SPINE SPECIALISTS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROSURGERY, ORTHOPAEDICS & SPINE SPECIALISTS, PC",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "GODBURN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "203-755-6677",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOSS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Neurosurgery, Orthopaedics & Spine Specialists, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.