NPIMap

Organization Active NPI

Orthopaedic Sports Specialists, PC

  • Orthopaedic Surgery Physician
  • Glastonbury, CT
National Provider Identifier
1851310031
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC SPORTS SPECIALISTS, PC
Practice address
84 Glastonbury Blvd
Suite 101
Glastonbury, CT 06033-4468
Phone
(860) 652-8883
Fax
(860) 652-8887
NPI assigned
Jul 19, 2006
Last updated
Jan 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Dr. Michael E Joyce, M.D.NPI 1982602868
Title
President
Phone
(860) 652-8883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

84 Glastonbury Blvd
Suite 101
Glastonbury, CT 06033-4468

Mailing address

PO Box 643
Windsor, CT 06095-0643
Phone (860) 652-8883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041112000113 CT Part B Supplier - Clinic/Group Practice 0840254678 Receives reassigned benefits from 11 practitioners
Practice locations: Enfield, CT; Glastonbury, CT
O20100930057875 CT DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0840254678 Practice locations: Glastonbury, CT

National Provider Directory

National Provider Directory

Locations

27 Sycamore St
Glastonbury, CT 06033
Phone (860) 652-8883

84 Glastonbury Blvd
Glastonbury, CT 06033
Phone (860) 652-8883

84 Glastonbury Blvd
Ste 101
Glastonbury, CT 06033
Phone (860) 633-6292

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1851310031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060950643",
            "telephone_number": "860-652-8883",
            "fax_number": "860-652-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 GLASTONBURY BLVD",
            "address_2": "SUITE 101",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334468",
            "telephone_number": "860-652-8883",
            "fax_number": "860-652-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SPORTS SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "JOYCE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-652-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.