NPIMap

Organization Active NPI

General Surgical Associates of N.L., P.C.

  • Surgery Physician
  • New London, CT
National Provider Identifier
1952495087
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
GENERAL SURGICAL ASSOCIATES OF N.L., P.C.
Practice address
50 Fair Harbour PL
Suite 2-C
New London, CT 06320-4731
Phone
(860) 443-3147
Fax
(860) 443-0087
NPI assigned
Oct 3, 2006
Last updated
May 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Dr. Dean Norman Willis, M.D.NPI 1598859746
Title
President/MD
Phone
(860) 443-3147

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

50 Fair Harbour PL
Suite 2-C
New London, CT 06320-4731

Mailing address

50 Fair Harbour PL
Suite 2-C
New London, CT 06320-4731
Phone (860) 443-3147

Other identifiers 2

IdentifierTypeStateIssuer
004394558MedicaidCT
C14779OtherCTRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1952495087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FAIR HARBOUR PL",
            "address_2": "SUITE 2-C",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204731",
            "telephone_number": "860-443-3147",
            "fax_number": "860-443-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FAIR HARBOUR PL",
            "address_2": "SUITE 2-C",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204731",
            "telephone_number": "860-443-3147",
            "fax_number": "860-443-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL SURGICAL ASSOCIATES OF N.L., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "PRESIDENT/MD",
        "authorized_official_telephone_number": "860-443-3147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004394558",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C14779",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.