Surgical Associates of Bristol PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL ASSOCIATES OF BRISTOL PC

Practice address

85 Beleden Gardens Dr
Bristol, CT 06010-5834

Phone

(860) 582-1220

Fax

(860) 582-6255

NPI assigned

Sep 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel J Scoppeta, M.D.

Title

President

Phone

(860) 582-1220

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

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

• Kenneth George Benoit, MD

  • Surgery Physician
  • Bristol, CT
  • NPI 1356357503
  NPD (past)
• James Thomas Sayre, MD

  • Surgery Physician
  • Bristol, CT
  • NPI 1558377705
  NPD (past)
• Daniel Joseph Scoppetta, MD

  • Surgery Physician
  • Bristol, CT
  • NPI 1578587705
  NPD (past)
• Christian William Ertl, MD

  • Surgery Physician
  • Kalamazoo, MI
  • NPI 1881691178
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1508050303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BELEDEN GARDENS DR",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105834",
            "telephone_number": "860-582-1220",
            "fax_number": "860-582-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BELEDEN GARDENS DR",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105834",
            "telephone_number": "860-582-1220",
            "fax_number": "860-582-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF BRISTOL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "SCOPPETA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-582-1220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004395192",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Sugar
• Jeanine Sullivan, LCSW
• Katherine Tilley Sullivan
• Michael Richard Sundman, O.D.
• Robin Suplinskas, RN
• Geetha Rani Swamy Iyah, MD
• Chelsea Swanson, MS, CCC-SLP
• Megan Swenton
• Mark Tabaka, PA-C
• Christopher Tagliavini, PA-C

• Surgery Physician in Bristol, CT
• Providers in Bristol, CT by specialty
• Surgery Physician in Connecticut

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