Organization Active NPI

Pavilion Hand Surgeons, Inc

  • Specialist
  • Enfield, CT
National Provider Identifier
1992109284
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on May 8, 2015

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1871655662OtherMANPI
D100172348OtherCTMEDICARE PTAN
M11285OtherMAMEDICARE PTAN

Other names 1

  • The Hand Center of Western Massachusetts Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.