Shoreline Foot & Ankle Center, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SHORELINE FOOT & ANKLE CENTER, PC

Practice address

85 Poheganut Dr
Groton, CT 06340-3252

Phone

(860) 437-3737

Fax

(860) 437-0530

NPI assigned

Jan 10, 2007

Last updated

Mar 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Darren J Courtright, DPM

Title

Owner

Phone

(860) 437-3737

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Michael D a Cicero, D.P.M.

  • Podiatrist
  • Middletown, CT
  • NPI 1063670016
  NPD (past)
• John Michael Gaetano, DPM FACFAS

  • Foot & Ankle Surgery Podiatrist
  • Waterford, CT
  • NPI 1457331357
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1780733519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 POHEGANUT DR",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403252",
            "telephone_number": "860-437-3737",
            "fax_number": "860-437-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 POHEGANUT DR",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403252",
            "telephone_number": "860-437-3737",
            "fax_number": "860-437-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE FOOT & ANKLE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "COURTRIGHT",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-437-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CH6521",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheridan Healthcare of Connecticut, PC
• Nadia Shipper, DC
• Shoreline Counseling Associates, LLC
• Shoreline Counseling Group,LLC
• Shoreline Foot & Ankle Center, PC
• Elizabeth Nicole Sifuentes, HM IDC
• Chelsea Monick Silva
• Priscilla Silva
• Yvonne J Sinclair, MD
• Chad S Singer, IDC

• Podiatrist in Groton, CT
• Providers in Groton, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.