Synergy Spine & Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001983 Issued in CT

Legal business name

SYNERGY SPINE & WELLNESS LLC

Practice address

43 Sky View Cir
Hamden, CT 06514-1512

NPI assigned

Feb 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mildred Oxilas, DCNPI 1851790679

Title

Owner

Phone

(718) 926-8285

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Mildred Oxilas, DC

  • Chiropractor
  • Hamden, CT
  • NPI 1851790679
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1720587348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SKY VIEW CIR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 SKY VIEW CIR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY SPINE & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "OXILAS",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-926-8285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Suski, FNP
• Evelyn Susko
• Andrew P Swan, MD
• Heidi Sward, LCSW
• Harvard Sylvan, OD
• Virginia Syombathy, APRN
• Daniel Tarifi
• Wendy Tatham, PTA
• Ashley Tatro, LMSW
• Mark Taylor, MD

• Chiropractor in Hamden, CT
• Providers in Hamden, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.