The Orthopaedic & Sports Medicine Center

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

THE ORTHOPAEDIC & SPORTS MEDICINE CENTER

Doing business as

The Orthopaedic & Sports Medicine Center

Practice address

2499 Main St
Stratford, CT 06615-5843

Phone

(203) 377-0003

Fax

(203) 377-5400

NPI assigned

Jun 1, 2011

Last updated

Feb 16, 2012By 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

Kelly M Poulin

Title

Practice Administrator

Phone

(203) 268-2882

Specialties & licenses 1

Addresses

Other names 1

• The Orthopaedic & Sports Medicine Center Doing business as

Locations

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1972897569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155843",
            "telephone_number": "203-377-0003",
            "fax_number": "203-377-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155843",
            "telephone_number": "203-377-0003",
            "fax_number": "203-377-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTHOPAEDIC & SPORTS MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "POULIN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "203-268-2882"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Orthopaedic & Sports Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julliana Tapia
• Kimberly Anne Tarshis, LCSW
• Howard L Taubin, M.D.
• Amy S. Terhaar, ARNP
• The Angels Homecare LLC
• Ananthakumar Thillainathan, MD
• Thomas Blackwell, LCSW, LLC (Blackwell Counseling)
• Thomas M Domanick DPM
• Kenneth Austin Thomas, M.D.
• Vonetta Elaine Threat, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.