NPIMap

Organization Active NPI

Orthopedic Associates of Hartford,PC

  • Orthopaedic Surgery Physician
  • Hartford, CT
National Provider Identifier
1972500304
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC ASSOCIATES OF HARTFORD,PC
Practice address
31 Seymour Street
Suite 100
Hartford, CT 06106-5501
Phone
(860) 549-3210
Fax
(860) 247-3803
NPI assigned
Jun 30, 2005
Last updated
Oct 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Lisa M Deming
Title
Credentialing Coding Manager
Phone
(860) 549-8276

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Orthopedic Physical Therapist 2251X0800X

Addresses

Primary practice location

31 Seymour Street
Suite 100
Hartford, CT 06106-5501

Mailing address

31 Seymour Street
Suite 100
Hartford, CT 06106-5501
Phone (860) 549-3210

Other identifiers 1

IdentifierTypeStateIssuer
004002366MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040521000458 CT Part B Supplier - Clinic/Group Practice 1850382409 Receives reassigned benefits from 135 practitioners
9 other NPIs on this enrollment
Practice locations: Bloomfield, CT; Wethersfield, CT; Stamford, CT; South Windsor, CT; Rocky Hill, CT; Plainville, CT; Newington, CT; New Britain, CT…
O20200622002629 CT DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1850382409 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Enfield, CT

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

100 Simsbury Rd
Ste 208
Avon, CT 06001
Phone (860) 674-0111

100 Hazard Ave
Enfield, CT 06082
Phone (860) 696-2380

7 Elm St
#3
Enfield, CT 06082

270 Farmington Ave
Ste 128
Farmington, CT 06032

270 Farmington Ave
Ste 172
Farmington, CT 06032
Phone (860) 674-6053

499 Farmington Ave
#3
Farmington, CT 06032

499 Farmington Ave
Fl 3
Farmington, CT 06032
Phone (860) 549-8986

499 Farmington Ave
Ste 302
Farmington, CT 06032

1000 Avery Hts
Hartford, CT 06106
Phone (860) 840-2622

31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8276

499 Farmington Ave
Ste 300
Hartford, CT 06105

85 Seymour St
Ste 307
Hartford, CT 06106

85 Seymour St
Ste 607
Hartford, CT 06106
Phone 8605493210 ext. 8979

505 Willard Ave
Bldg A
Newington, CT 06111

505 Willard Ave
Ste 2C
Newington, CT 06111

201 N Mountain Rd
Ste 3
Plainville, CT 06062

201 N Mountain Rd
Ste 301
Plainville, CT 06062
Phone (860) 348-9338

201 N Mountain Rd
Ste 302NEW
Plainville, CT 06062

201 N Mountain Rd
Ste 303
Plainville, CT 06062

150 Enterprise Dr
Rocky Hill, CT 06067
Phone (860) 549-8276

890 N Colony Rd
Wallingford, CT 06492

1061 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 563-8207

Practitioners & affiliated clinicians

Practitioners 144

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 144

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1972500304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SEYMOUR STREET",
            "address_2": "SUITE 100",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-549-3210",
            "fax_number": "860-247-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SEYMOUR STREET",
            "address_2": "SUITE 100",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-549-3210",
            "fax_number": "860-247-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC ASSOCIATES OF HARTFORD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "DEMING",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING CODING MANAGER",
        "authorized_official_telephone_number": "860-549-8276"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004002366",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.