Active NPI
Christine Elizabeth Vancott, MD
- Surgery Physician
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 048792
- Practice address
- 2800 Main St
Dept of Surgery
Bridgeport, CT 06606-4201 - Phone
- (203) 576-6000
- NPI assigned
- Jun 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 048792 | CT | Primary |
Addresses
Primary practice location
2800 Main St
Dept of Surgery
Bridgeport, CT 06606-4201
Mailing address
115 Technology Dr
Unit C100
Trumbull, CT 06611-6339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048792 | CT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Surgery | Current | Accepting new patients |
| Neighborhood Health, Inc. | Surgery | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Saint Raphael Healthcare System Affiliated Physicians Inc | Surgery | Past | Accepting new patients |
| Saint Raphael Faculty Physicians | Surgery | Past | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
2660 Main St
Ste 110
Bridgeport, CT 06606
Phone (203) 332-4744
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
115 Technology Dr
Unit C100
Trumbull, CT 06611
Phone (203) 268-5212
115 Technology Dr
Unit C300
Trumbull, CT 06611
Phone (203) 445-7093
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Neurology Physician
- New Haven, CT
- NPI 1063744001
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1619136686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 TECHNOLOGY DR",
"address_2": "UNIT C100",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066116339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 MAIN ST",
"address_2": "DEPT OF SURGERY",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066064201",
"telephone_number": "203-576-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCOTT",
"first_name": "CHRISTINE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "048792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.