NPIMap

Organization Active NPI

Connecticut Heart Physicians, Inc.

  • Cardiovascular Disease Physician
  • Windsor, CT
National Provider Identifier
1477588002
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CONNECTICUT HEART PHYSICIANS, INC.
Practice address
835 Bloomfield Ave
Windsor, CT 06095-2363
Phone
(860) 688-0033
Fax
(877) 306-1480
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Dr. Anthony F Lasala, M.D.
Title
President
Phone
(860) 249-9175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

835 Bloomfield Ave
Windsor, CT 06095-2363

Mailing address

PO Box 262
Windsor, CT 06095-0262
Phone (860) 688-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041207000736 CT Part B Supplier - Clinic/Group Practice 7416913850 Receives reassigned benefits from 34 practitioners
Practice locations: Hartford, CT

National Provider Directory

National Provider Directory

Locations

85 Seymour St
Ste 104
Hartford, CT 06106
Phone (860) 241-6077

Practitioners 68

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

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1477588002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060950262",
            "telephone_number": "860-688-0033",
            "fax_number": "877-306-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 BLOOMFIELD AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952363",
            "telephone_number": "860-688-0033",
            "fax_number": "877-306-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT HEART PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "LASALA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-249-9175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.