Active NPI
John J Giacchetto MD PC
- Orthopaedic Surgery Physician
- Norwich, CT
National Provider Identifier
1487976676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 026485
- Legal business name
- JOHN J GIACCHETTO MD PC
- Practice address
- 105 Wawecus St
Suite 2
Norwich, CT 06360-2146 - Phone
- (860) 889-1116
- Fax
- (860) 889-2032
- NPI assigned
- Feb 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John J Giacchetto, MD
- Title
- President
- Phone
- (860) 889-1116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 026485 | CT | Primary |
Addresses
Primary practice location
105 Wawecus St
Suite 2
Norwich, CT 06360-2146
Mailing address
105 Wawecus St
Suite 2
Norwich, CT 06360-2146
Phone (860) 889-1116
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 797371 | Other | CONNECTICARE | |
| 0461209 | Other | AETNA | |
| 030927 | Other | HEALTHNET | |
| 010026485CT03 | Other | CT | ANTHEM BLUE CROSS AND BLUE SHIELD |
| NLS089 | Other | OXFORD | |
| 001264853 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
330 Washington St
Ste 320
Norwich, CT 06360
Phone (860) 889-1116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406505600000",
"number": "1487976676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WAWECUS ST",
"address_2": "SUITE 2",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602146",
"telephone_number": "860-889-1116",
"fax_number": "860-889-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WAWECUS ST",
"address_2": "SUITE 2",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602146",
"telephone_number": "860-889-1116",
"fax_number": "860-889-2032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN J GIACCHETTO MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-16",
"last_updated": "2014-07-28",
"status": "A",
"authorized_official_last_name": "GIACCHETTO",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-889-1116",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CT",
"license": "026485",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "797371",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0461209",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "030927",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS AND BLUE SHIELD",
"identifier": "010026485CT03",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "NLS089",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001264853",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.