Organization Active NPI

Western Connecticut Thoracic Surgery

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ridgefield, CT
National Provider Identifier
1861772022
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
WESTERN CONNECTICUT THORACIC SURGERY
Practice address
10 South St
Suite 202
Ridgefield, CT 06877-4124
Phone
(203) 403-3490
NPI assigned
Aug 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Dr. Shawn Tittle
Title
President
Phone
(203) 403-3490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

10 South St
Suite 202
Ridgefield, CT 06877-4124

Mailing address

10 South St
Suite 202
Ridgefield, CT 06877-4124
Phone (203) 403-3490

National Provider Directory

National Provider Directory

Locations

10 South St
Ste 202
Ridgefield, CT 06877
Phone (203) 403-3490

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1861772022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SOUTH ST",
            "address_2": "SUITE 202",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774124",
            "telephone_number": "203-403-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SOUTH ST",
            "address_2": "SUITE 202",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774124",
            "telephone_number": "203-403-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CONNECTICUT THORACIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "TITTLE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-403-3490",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.