Active NPI
Coastal Orthopaedics, PC
- Orthopaedic Surgery Physician
- New Canaan, CT
National Provider Identifier
1780021725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- COASTAL ORTHOPAEDICS, PC
- Practice address
- 30 East Ave
New Canaan, CT 06840-5516 - Phone
- (203) 845-2200
- Fax
- (203) 847-1940
- NPI assigned
- May 31, 2013
- Last updated
- Sep 15, 2014
- Organization subpart
- Yes
- Parent organization
- COASTAL ORTHOPAEDICS, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard C Lyon
- Title
- Executive Director
- Phone
- (203) 845-2200
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | CT | Primary | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | CT | ||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | CT | ||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | CT | ||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | CT | ||
| Orthopaedic Trauma Physician | 207XX0801X | CT | ||
| Interventional Pain Medicine Physician | 208VP0014X | CT | ||
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | CT |
Addresses
Primary practice location
30 East Ave
New Canaan, CT 06840-5516
Mailing address
761 Main Ave
Suite 300
Norwalk, CT 06851-1080
Phone (203) 845-2200
National Provider Directory
National Provider Directory- Part of
- Coastal Orthopaedics
Locations
40 Cross St
Ste 300
Norwalk, CT 06851
Phone (203) 229-2000
761 Main Ave
Ste 300
Norwalk, CT 06851
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Fairfield, CT
- NPI 1861491557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410739200000",
"number": "1780021725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 MAIN AVE",
"address_2": "SUITE 300",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511080",
"telephone_number": "203-845-2200",
"fax_number": "203-847-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 EAST AVE",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068405516",
"telephone_number": "203-845-2200",
"fax_number": "203-847-1940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL ORTHOPAEDICS, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COASTAL ORTHOPAEDICS, PC",
"enumeration_date": "2013-05-31",
"last_updated": "2014-09-15",
"status": "A",
"authorized_official_last_name": "LYON",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "203-845-2200"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CT",
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "CT",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Canaan, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.