Richard Commaille, PA – Surgical Physician Assistant

Key facts

NPI: 1891897963
Entity type: Individual (NPI type 1)
Primary specialty: Surgical Physician Assistant 363AS0400X
License: 000162 (CT)
Practice address: 100 Grand St
Medical Staff Office, Att: Ondrea Chasse
New Britain, CT 06052-2016
Phone: (860) 224-5305
Fax: (860) 224-5565
NPI assigned: Sep 1, 2006
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
000162	CT	MD	Physical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Surgical Physician Assistant	363AS0400X	000162	CT	Yes

Addresses

Primary practice location

100 Grand St
Medical Staff Office, Att: Ondrea Chasse
New Britain, CT 06052-2016

Mailing address

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5305

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891897963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060522016",
            "telephone_number": "860-224-5305",
            "fax_number": "860-224-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND ST",
            "address_2": "MEDICAL STAFF OFFICE, ATT: ONDREA CHASSE",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060522016",
            "telephone_number": "860-224-5305",
            "fax_number": "860-224-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMMAILLE",
        "first_name": "RICHARD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "000162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

All providers in New Britain, CT · Surgical Physician Assistant in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.