Active NPI
Federal Hill Surgical Group, PC
- Surgery Physician
- Bristol, CT
National Provider Identifier
1548297849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 026950
- Legal business name
- FEDERAL HILL SURGICAL GROUP, PC
- Practice address
- 291 Queen St
Bristol, CT 06010-6379 - Phone
- (860) 583-1845
- NPI assigned
- Jun 26, 2006
- Last updated
- Aug 22, 2020
- 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
- Ovleto W. Ciccarelli, MD
- Title
- President
- Phone
- (860) 583-1845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 026950 | CT | Primary |
Addresses
Primary practice location
291 Queen St
Bristol, CT 06010-6379
Mailing address
291 Queen St
Bristol, CT 06010-6379
Phone (860) 583-1845
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OR2818 | Other | CT | HEALTHNET |
| 755038 | Other | CT | CONNECTICARE |
| 00126950600 | Other | CT | BLUE CARE FAMILY |
| 707249 | Other | CT | AETNA-US HEALTH |
| HAS048 | Other | CO | OXFORD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Plastic and Reconstructive Surgery Physician
- New York, NY
- NPI 1710947379
-
- Otolaryngology Physician
- Brooklyn, NY
- NPI 1629039896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1548297849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 QUEEN ST",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060106379",
"telephone_number": "860-583-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 QUEEN ST",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060106379",
"telephone_number": "860-583-1845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FEDERAL HILL SURGICAL GROUP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CICCARELLI",
"authorized_official_first_name": "OVLETO",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-583-1845",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "026950",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "OR2818",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "755038",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE FAMILY",
"identifier": "00126950600",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-US HEALTH",
"identifier": "707249",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "HAS048",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.