NPIMap

Organization Active NPI

Integrated Anesthesia Associates LLC

  • Anesthesiology Physician
  • Shelton, CT
National Provider Identifier
1881636397
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
INTEGRATED ANESTHESIA ASSOCIATES LLC
Practice address
2 Corporate Drive 9TH Floor
Suite 955
Shelton, CT 06484-7623
Phone
(203) 929-7353
Fax
(203) 929-0756
NPI assigned
Jun 11, 2006
Last updated
Apr 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2023

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

Authorized official

Name
Thomas R BladekNPI 1790761765
Title
Chairman of Anesthesia Treasurer
Phone
(203) 929-7353

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Certified Registered Nurse Anesthetist 367500000X
Anesthesiology Physician 207L00000X Primary
Pain Medicine Physician 208VP0000X

Addresses

Primary practice location

2 Corporate Drive 9TH Floor
Suite 955
Shelton, CT 06484-7623

Mailing address

2 Corporate Drive 9TH Floor
Suite 955
Shelton, CT 06484-7623
Phone (203) 929-7353

Other practice location 1

2 Trap Falls Road
Suite 414
Shelton, CT 06484-7623
Phone (203) 929-7353

Other identifiers 1

IdentifierTypeStateIssuer
004081725MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040112000163 CT Part B Supplier - Clinic/Group Practice 1759281165 Receives reassigned benefits from 722 practitioners
Practice locations: Hartford, CT; Milford, CT; New Britain, CT; Newington, CT; Norwalk, CT; Norwich, CT; Old Saybrook, CT; Rocky Hill, CT…

National Provider Directory

National Provider Directory

Locations

229 Montowese St
Branford, CT 06405
Phone (203) 481-0315

75 Kings Highway Cutoff
Ste 3A
Fairfield, CT 06824
Phone (203) 373-7330

499 Farmington Ave
Ste 200
Farmington, CT 06032
Phone (860) 409-0801

55 South Rd
Ste 100
Farmington, CT 06032
Phone (860) 247-5555

55 Nye Rd
Glastonbury, CT 06033
Phone (860) 430-1132

31 Seymour St
Ste 201
Hartford, CT 06106
Phone (860) 282-4128

99 E River Dr
Fl 5
Hartford, CT 06108
Phone (860) 282-4022

929 Boston Post Rd
Ste 7
Old Saybrook, CT 06475
Phone (860) 661-5960

1111 Cromwell Ave
Ste 100
Rocky Hill, CT 06067
Phone (860) 407-8100

2 Corporate Dr
Shelton, CT 06484
Phone (203) 293-0224

2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375

2 Trap Falls Rd
Ste 414
Shelton, CT 06484
Phone (203) 929-3537

1281 E Main St
Ste 3
Stamford, CT 06902
Phone (203) 321-0777

Practitioners & affiliated clinicians

Practitioners 779

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.

View all 779

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680307200000",
    "number": "1881636397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DRIVE 9TH FLOOR",
            "address_2": "SUITE 955",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064847623",
            "telephone_number": "203-929-7353",
            "fax_number": "203-929-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DRIVE 9TH FLOOR",
            "address_2": "SUITE 955",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064847623",
            "telephone_number": "203-929-7353",
            "fax_number": "203-929-0756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Trap Falls Road",
            "address_2": "Suite 414",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064847623",
            "country_code": "US",
            "telephone_number": "203-929-7353",
            "fax_number": "203-929-0756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED ANESTHESIA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A",
        "authorized_official_last_name": "BLADEK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHAIRMAN OF ANESTHESIA TREASURER",
        "authorized_official_telephone_number": "203-929-7353"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004081725",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2023; 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.