Eastern Connectitcut Medical Professionals

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

002561 Issued in CT

Legal business name

EASTERN CONNECTITCUT MEDICAL PROFESSIONALS

Practice address

71 Haynes St
Suite 1209
Manchester, CT 06040-4131

Phone

(606) 598-5104

NPI assigned

Apr 29, 2011

Organization subpart

No

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

Authorized official

Name

Kaitlin Jane Viola, PA

Title

Orthopedic Physician Assistant

Phone

(845) 392-7917

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1740571397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "address_2": "SUITE 1209",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "address_2": "SUITE 1209",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404131",
            "telephone_number": "606-598-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CONNECTITCUT MEDICAL PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "VIOLA",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ORTHOPEDIC PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "845-392-7917",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CT",
            "license": "002561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Connecticut Cardiology Associates LLC
• Eastern Connecticut Imaging PC
• Eastern Connecticut Medical Professionals Foundation Inc
• Eastern Connecticut Neurology Specialist LLC
• Eastern Connecticut Pathology Consultants, PC
• Eastern Rehabilitation Network
• Ecs-03 LLC
• Amanda Edgar
• Eric Edgerton, LCSW
• Nicholas Edgerton, N.D.

• General Acute Care Hospital in Manchester, CT
• Providers in Manchester, CT by specialty
• General Acute Care Hospital in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.