Organization Active NPI

Western Connecticut Orthopedic Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Danbury, CT
National Provider Identifier
1720227945
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0304 Issued in CT
Legal business name
WESTERN CONNECTICUT ORTHOPEDIC SURGICAL CENTER LLC
Practice address
226 White St
Danbury, CT 06810-6814
Phone
(203) 791-9557
Fax
(203) 791-9667
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Mr. Richard Searles
Title
Member/Manager
Phone
(203) 791-9557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0304 CT Primary

Addresses

Primary practice location

226 White St
Danbury, CT 06810-6814

Mailing address

226 White St
Danbury, CT 06810-6814
Phone (203) 791-9557

Other identifiers 1

IdentifierTypeStateIssuer
490000217OtherCTPHYSICIAN OR SUPPLIER IDENTIFICATION CODE

Other names 1

  • The Hand Center of Western Connecticut LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090218000324 CT Part B Supplier - Ambulatory Surgical Center 7416938378 Practice locations: Danbury, CT

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Western Connecticut Orthopedic Surgical Center LLCCCN 07C0001022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0964118Western Connecticut Orthopedic Surgical Center226 White St, Danbury, CT 06810Certificate of waiverAug 18, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1720227945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 WHITE ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106814",
            "telephone_number": "203-791-9557",
            "fax_number": "203-791-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 WHITE ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106814",
            "telephone_number": "203-791-9557",
            "fax_number": "203-791-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CONNECTICUT ORTHOPEDIC SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "SEARLES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "203-791-9557",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CT",
            "license": "0304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN OR SUPPLIER IDENTIFICATION CODE",
            "identifier": "490000217",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hand Center of Western Connecticut LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.