Individual provider Active NPI

Ross David Segan, M.D.

  • Surgery Physician
  • North Haven, CT
National Provider Identifier
1528037918
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D61698 Issued in MD
Practice address
60 Middletown Ave
Covidien Surgical Devices - Medical Affairs
North Haven, CT 06473-3908
Phone
(203) 492-7250
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D61698 MD Primary

Addresses

Primary practice location

60 Middletown Ave
Covidien Surgical Devices - Medical Affairs
North Haven, CT 06473-3908

Mailing address

60 Middletown Ave
Covidien Surgical Devices - Medical Affairs
North Haven, CT 06473-3908
Phone (203) 492-7250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D61698MDMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1528037918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MIDDLETOWN AVE",
            "address_2": "COVIDIEN SURGICAL DEVICES - MEDICAL AFFAIRS",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733908",
            "telephone_number": "203-492-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MIDDLETOWN AVE",
            "address_2": "COVIDIEN SURGICAL DEVICES - MEDICAL AFFAIRS",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733908",
            "telephone_number": "203-492-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAN",
        "first_name": "ROSS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D61698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.