Connecticut Surgical Group, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CONNECTICUT SURGICAL GROUP, PC

Practice address

98 Main St
Suite 303
Southington, CT 06489-2500

Phone

(203) 238-1241

Fax

(860) 686-0791

NPI assigned

Nov 28, 2005

Last updated

Oct 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas C McKell

Title

Chief Administrative Officer

Phone

(860) 524-4326

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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.

• Kenneth R Kurz

  • Urology Physician
  • Meriden, CT
  • NPI 1851474126
  NPD (past)
• Komsu F Mamuya, MD

  • Cardiovascular Disease Physician
  • Wethersfield, CT
  • NPI 1073588695
  NPD (past)
• Paul Vincent Vignati, MD

  • Colon & Rectal Surgery Physician
  • Hartford, CT
  • NPI 1730174350
  NPD (past)
• Brian Wirtalla, DPT, CSCS

  • Physical Therapist
  • Manchester, CT
  • NPI 1659799823
  NPD (past)

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1972586675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TALCOTT NOTCH RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321818",
            "telephone_number": "860-524-2626",
            "fax_number": "860-677-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 MAIN ST",
            "address_2": "SUITE 303",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892500",
            "telephone_number": "203-238-1241",
            "fax_number": "860-686-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT SURGICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "MCKELL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "860-524-4326"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Orthopedics & Musculoskeletal Care LLC
• Comprehensive Orthopedics & Musculoskeletal Care LLC
• Connecticut CVS Pharmacy LLC (CVS Pharmacy #17491)
• Connecticut CVS Pharmacy LLC (CVS Pharmacy #01060)
• Connecticut Support Services Holdings, LLC
• Caitlin Grace Connolly, OTR/L
• Lisa Desiderio Consiglio, APRN
• Constant Dental Care, PLLC
• Core Podiatry LLC
• Core Principles

• Durable Medical Equipment & Medical Supplies in Southington, CT
• Providers in Southington, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.