Tina Marie Steen

Primary specialty

SpecialistTaxonomy code 174400000X

License

000837 Issued in CT

Practice address

35 Nod Rd
Connemara CT. Suite 102
Avon, CT 06001-3826

Phone

(860) 677-0739

NPI assigned

Mar 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shaws Cove Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • New London, CT
  • NPI 1275554222
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942332911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HUNTING RIDGE DR",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701806",
            "telephone_number": "860-217-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NOD RD",
            "address_2": "CONNEMARA CT. SUITE 102",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013826",
            "telephone_number": "860-677-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEEN",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "000837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori A Stanczyc, MED, LPC, CPS, ES
• Stanislaw Facial Plastic Surgery Center, LLC
• Paul Stanislaw Jr., MD
• Carol Stansfield, LPC
• State of Connecticut (Durable Medical Equipment & Medical Supplies)
• Stephanie Panico LLC
• Mark David Stevens, P.A.
• Rachel Beth Stevenson, PTA
• Krista Lynn Stiebel, LCSW
• Vanessa Boccaccio Stockford, PA-C

• Specialist in Avon, CT
• Providers in Avon, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.