NPIMap

Orthopedic Associates of Hartford,PC

Organization Active NPI Orthopaedic Surgery Physician · Hartford, CT

NPI 1972500304 · NPPES record last updated Oct 15, 2018

Key facts

NPI
1972500304
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 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
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 10

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

Other NPIs with the same Medicare PAC ID 6

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

Practitioners 146

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 146

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CT

Medicare enrollment records

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

National Provider Directory

Locations

100 Simsbury Rd
Ste 208
Avon, CT 06001
Phone (860) 409-0413

7 Elm St
#3
Enfield, CT 06082

7 Elm St
Fl 3
Enfield, CT 06082
Phone (860) 244-8889

270 Farmington Ave
Ste 128
Farmington, CT 06032

499 Farmington Ave
Ste 302
Farmington, CT 06032

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

499 Farmington Ave
Ste 300
Farmington, CT 06032
Phone (860) 549-8986

499 Farmington Ave
#3
Farmington, CT 06032

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

85 Seymour St
Ste 918
Hartford, CT 06106
Phone (860) 527-2566

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

31 Seymour St
Hartford, CT 06106
Phone (860) 972-0050

85 Seymour St
Ste 307
Hartford, CT 06106

499 Farmington Ave
Ste 300
Hartford, CT 06105

505 Willard Ave
Ste 2C
Newington, CT 06111

505 Willard Ave
Bldg A
Newington, CT 06111

201 N Mountain Rd
Ste 302NEW
Plainville, CT 06062

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

201 N Mountain Rd
Ste 303
Plainville, CT 06062

201 N Mountain Rd
Ste 3
Plainville, CT 06062

890 N Colony Rd
Wallingford, CT 06492

334 N Main St
West Hartford, CT 06117
Phone (860) 236-7771

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X Yes
Orthopedic Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 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

IdentifierTypeStateIssuer
004002366MedicaidCT

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 15, 2018.

{
    "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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

All providers in Hartford, CT · Orthopaedic Surgery Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.