Collins Surgical Associates, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

COLLINS SURGICAL ASSOCIATES, P.C.

Practice address

300 Hebron Ave Ste 211
Glastonbury, CT 06033-2192

Phone

(860) 522-1024

Fax

(860) 278-4613

NPI assigned

Aug 15, 2006

Last updated

Mar 8, 2021By 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

Ms. Kandy A Parker, CPC CPPM

Title

Practice Manager

Phone

(860) 522-1024

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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.

• John M Dasilva, M.D.

  • Surgery Physician
  • Glastonbury, CT
  • NPI 1568475051
  Medicare reassignment NPD
• Rajnish Tandon, M.D.

  • Surgery Physician
  • Glastonbury, CT
  • NPI 1972707040
  Medicare reassignment NPD

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1982617437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 COLLINS ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051549",
            "telephone_number": "860-522-1024",
            "fax_number": "860-278-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEBRON AVE STE 211",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332192",
            "telephone_number": "860-522-1024",
            "fax_number": "860-278-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "KANDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "860-522-1024",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC CPPM"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Gulbas Cohen, OT
• Shannon Marie Colborn, APRN
• Marla J Colburn Dunnells, D.C.
• Abby Golomb Cole, PH.D.
• Collaborative Nutrition Therapy LLC
• Nichole Danyel Collins, PHD, BCBA, LBA
• Andrea Dyal Collura, L.P.C.
• Gail P Comey, PHD
• Compassionate Connections Wellness Center PLLC
• Complete Love & Care Home Care LLC

• Surgery Physician in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.