CH Specialty Services CT PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CH SPECIALTY SERVICES CT PLLC

Practice address

380 Salem Tpke
Bozrah, CT 06334-1539

Phone

(337) 408-0797

NPI assigned

Jul 23, 2025

Last updated

May 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Howard

Title

Sr. VP Administrative Services

Phone

(337) 408-0797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

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.

• Vlastimil Smetka, MD

  • Family Medicine Physician
  • Walterboro, SC
  • NPI 1497974273

  CT

  Medicare reassignment NPD

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1508748344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035345",
            "telephone_number": "337-408-0797",
            "fax_number": "337-991-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SALEM TPKE",
            "city": "BOZRAH",
            "state": "CT",
            "postal_code": "063341539",
            "telephone_number": "337-408-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CH SPECIALTY SERVICES CT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "SR. VP ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "337-408-0797"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Bentley Baughn, LMFT
• Heather Jo Bonitz-Moore, ATR-BC, LPC, IMH-E
• Bozrah Volunteer Fire Company Inc
• Alexandra V Brennan, DMD
• Hannah Carey
• Children's Dental Associates of NLC, PC
• Comfort Care Medical Equipment, Inc
• Curana Health of Connecticut PLLC
• Kellie Eagle, LMSW
• Trudy Friedberg, PC

• Internal Medicine Physician in Bozrah, CT
• Providers in Bozrah, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.