Ellen Salurand, M.D.
Individual provider Active NPI Neurology Physician · Woodstock, CT
NPI 1710969282 · NPPES record last updated Aug 17, 2015
Key facts
- NPI
- 1710969282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 38227 (CT)
- Practice address
- 168 Route 171
Woodstock, CT 06281-3123 - Phone
- (860) 928-7775
- Fax
- (860) 928-1397
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Albany Medical College of Union University, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Day Kimball Medical Group Inc
Practice addresses (Care Compare)
168 Route 171
Woodstock, CT 06281-3123
Phone (860) 928-7775
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150909002145 | CT | Practitioner - Neurology | 4183700420 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day Kimball Medical Group Inc | Current |
Accepting new patients |
Locations
132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225
612 Hartford Pike
Dayville, CT 06241
Phone (860) 779-0284
12 Lathrop Rd
Plainfield, CT 06374
Phone (860) 457-9150
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
320 Pomfret St
#2
Putnam, CT 06260
168 Route 171
Woodstock, CT 06281
Phone (860) 827-7775
Interoperability endpoints
- https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4
- ellen.salurand.2@1694.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 161268 | MA | |
| Neurology Physician | 2084N0400X | 38227 | CT | Yes |
Addresses
Primary practice location
168 Route 171
Woodstock, CT 06281-3123
Mailing address
168 Route 171
Woodstock, CT 06281-3123
Phone (860) 928-7775
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3205371 | Medicaid | MA |
Other providers in Woodstock, CT
- Ellen Pulawski
- Quiet Corner Speech & Language LLC
- Rachelle Mauer, SLP
- Frances Rollinson
- Rose Kihara Nurse Practitioner LLC
- Hailey Elizabeth Santelli
- Bobbie-Jo Saucier
- Olivera Schmeelk
- Christine Marie Schuler
- Lauren Marie Shea
All providers in Woodstock, CT · Neurology 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 Aug 17, 2015. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.