Active NPI
Pavilion Hand Surgeons, Inc
- Specialist
- Enfield, CT
National Provider Identifier
1992109284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PAVILION HAND SURGEONS, INC
- Practice address
- 115 Elm St Ste 208
Enfield, CT 06082-3735 - Phone
- (860) 698-6966
- Fax
- (413) 734-0587
- NPI assigned
- Oct 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey C Wint, M.D.
- Title
- President
- Phone
- (413) 733-2204
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
115 Elm St Ste 208
Enfield, CT 06082-3735
Mailing address
3550 Main St Ste 204
Springfield, MA 01107-1078
Phone (413) 733-2204
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871655662 | Other | MA | NPI |
| D100172348 | Other | CT | MEDICARE PTAN |
| M11285 | Other | MA | MEDICARE PTAN |
Other names 1
- The Hand Center of Western Massachusetts
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431043200000",
"number": "1992109284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 MAIN ST STE 204",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071078",
"telephone_number": "413-733-2204",
"fax_number": "413-734-0587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ELM ST STE 208",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823735",
"telephone_number": "860-698-6966",
"fax_number": "413-734-0587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAVILION HAND SURGEONS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-15",
"last_updated": "2015-05-08",
"status": "A",
"authorized_official_last_name": "WINT",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "413-733-2204",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1871655662",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "D100172348",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "M11285",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Hand Center of Western Massachusetts",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.