Central Connecticut Neurosurgery and Spine LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

039336 Issued in CT

Legal business name

CENTRAL CONNECTICUT NEUROSURGERY AND SPINE LLC

Practice address

1 Liberty SQ FL 1
New Britain, CT 06051-2637

Phone

(860) 225-1227

Fax

(860) 225-1253

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Ahmed M Khan, MDNPI 1851378772

Title

Owner / Physician

Phone

(860) 225-1227

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmed M Khan, MD

  • Neurological Surgery Physician
  • New Britain, CT
  • NPI 1851378772
  Medicare reassignment Care Compare group Authorized official
• Anna Rose Gill, PA-C

  • Physician Assistant
  • Waterbury, CT
  • NPI 1922770924
  Medicare reassignment Care Compare group NPD
• Kara Sanderson

  • Family Nurse Practitioner
  • Middletown, CT
  • NPI 1932471927
  Medicare reassignment NPD

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1669653283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LIBERTY SQ FL 1",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512637",
            "telephone_number": "860-225-1227",
            "fax_number": "860-225-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LIBERTY SQ FL 1",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512637",
            "telephone_number": "860-225-1227",
            "fax_number": "860-225-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CONNECTICUT NEUROSURGERY AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "860-225-1227",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CT",
            "license": "039336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CO3839",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Cebula, MD MBBA
• Emely N/a Cedano
• Center for Fertility and Women'S Health, P.C.
• Center of Medical Arts, L.L.C.
• Central Connecticut Laboratory Consultants, LLC
• Central Connecticut Pathology Consultants, P.C.
• Central Connecticut Procedure Center, LLC
• Central Connecticut Radiation Oncology PC
• Paul J Ceplenski, M.D.
• Angela Chafee, PSY.D.

• Neurological Surgery Physician in New Britain, CT
• Providers in New Britain, CT by specialty
• Neurological Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.