East Coast Anesthesia

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

035600 Issued in CT

Legal business name

EAST COAST ANESTHESIA

Practice address

929 Boston Post Rd
Suite 1
Old Saybrook, CT 06475-2143

Phone

(203) 243-7686

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Armen Gregory Ketchedjian, MDNPI 1699893099

Title

Physician/President

Phone

(203) 243-7686

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Armen Ketchedjian, MD Doing business as

Locations

Practitioners 1

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

• Armen G Ketchedjian, MD

  • Anesthesiology Physician
  • Old Saybrook, CT
  • NPI 1699893099
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851472054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064880547",
            "telephone_number": "203-243-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 BOSTON POST RD",
            "address_2": "SUITE 1",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752143",
            "telephone_number": "203-243-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KETCHEDJIAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "203-243-7686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "035600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET INSURANCE",
            "identifier": "2V5180",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2753812",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "500HBA454CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Armen Ketchedjian, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Olivieri LCSW
• Lauren Larusso Drago, LMHC, LPC
• Douglas Dufore, PHD
• Michael William Dunne, MD
• Alyssa Ann Duperry, APRN
• Robert Ladd Edmonstone, DDS
• Matthew E Elgart, OD
• Monya D Elgart, OD
• Larisa Ellis, DDS
• Peter Elman, RPH,PD

• Anesthesiology Physician in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Anesthesiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.