Orthopedic Surgical Partners, P.C.
Organization Active NPI Orthopaedic Surgery Physician · Willimantic, CT
NPI 1598237828 · NPPES record last updated Jul 9, 2024
Key facts
- NPI
- 1598237828
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- ORTHOPEDIC SURGICAL PARTNERS, P.C.
- Practice address
- 5 Founders St Ste 202
Willimantic, CT 06226-2052 - Phone
- (860) 525-4469
- Fax
- (860) 450-7323
- NPI assigned
- Dec 27, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- ORTHOPEDIC SURGICAL PARTNERS, P.C.
Authorized official
- Name
- Robert W McAllister, MD
- Title
- President
- Phone
- (860) 525-4469
Parent organization (reported in NPPES) 1
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 1
Practitioners 29
-
Christopher James Berube, PA-C
-
Danielle Boley, PAC
-
Michael Boniello, M.D., M.SC.
-
Robert Brancato, PA-C
-
Joanna D Brown, PA-C
-
Amy E Bruce, DPM
-
Alison Bruns, PA-C
-
Francesca Chirico, ATC, LAT, PA-C
-
Matthew W Cross, PA-C
-
William H Cullen, PA
-
John Daniel D'Agata Jr., PA-C
-
Chad Daniel, M.D.
-
Andrew H Litchfield, DPM
-
Wayne Perosky, PA
-
Stephen F. Scarangella, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190719000358 | CT | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 1355394115 | Practice locations: Willimantic, CT |
National Provider Directory
- Tax ID family
- Hartford Orthopedic Sur
- Part of
- Hartford Orthopedic Sur
Locations
1111 Cromwell Ave
Ste 302
Rocky Hill, CT 06067
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
5 Founders St Ste 202
Willimantic, CT 06226-2052
Mailing address
1111 Cromwell Ave Ste 403
Rocky Hill, CT 06067-3454
Phone (860) 525-4469
Other names
- Hartford orthopedic Surgeons, PC
Other providers in Willimantic, CT
- Luke B O'Brien
- Eduardo D Oneill-Caban
- Open Door Counseling, LLC
- Caroline Mary Ort
- Ortho New England, LLC
- Lorenzo Antonio Ortiz
- Angaline Rosaria Palamara
- Alisa Palmer
- Chelliah Pandian
- Para-Pharm Inc
All providers in Willimantic, CT · Orthopaedic Surgery Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.