Connecticut Valley Orthopaedics & Sports Medicine, PC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Legal business name

CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC

Practice address

106 Hanover St
Lebanon, NH 03766-1042

Phone

(802) 885-6379

Fax

(802) 885-6376

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

David L Muller, M.D.

Title

Administrative Partner

Phone

(802) 885-6379

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1487732822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 RIDGEWOOD RD",
            "address_2": "PO BOX 2003",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051563050",
            "telephone_number": "802-885-6379",
            "fax_number": "802-885-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HANOVER ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661042",
            "telephone_number": "802-885-6379",
            "fax_number": "802-885-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "MULLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATIVE PARTNER",
        "authorized_official_telephone_number": "802-885-6379",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VN1017",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30008018",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alicia Anne Connors
• Taylor Conroy
• Michael E Conti, CRNA
• Fernando M Contreras-Valdes, M.D.

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.