DR. DANIEL J MASTELLA (NPI# 1275643322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275643322 |
| Entity Type | Individual |
| Full Name | DR. DANIEL J MASTELLA |
| Credential | MD |
| Practice Address |
195 Eastern Blvd Suite 200 Glastonbury CT 06033-1208 |
| Practice Telephone | 8605277161 |
| Practice Fax Number | 8606528410 |
| Mailing Telephone | 8605277161 |
| Mailing Fax Number | 8607283227 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
MD419529 | PA | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
041663 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001416636 | 05 |
| Street Address |
195 EASTERN BLVD SUITE 200 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601530 | Carl W Nissen | Orthopaedic Surgery | 195 Eastern Blvd, Glastonbury, CT 06033-4312 | 2005-06-28 |
| 1710402656 | Peter Dasilva | Occupational Therapist | 195 Eastern Blvd, Glastonbury, CT 06033-4312 | 2017-08-11 |
| 1245521442 | Steven Vander Naalt | Surgery | 195 Eastern Blvd, Suite 200, Glastonbury, CT 06033-1208 | 2011-04-22 |
| 1619295045 | Hugh E Finch Jr. | Dentist | 195 Eastern Blvd, Suite 202, Glastonbury, CT 06033-1208 | 2010-05-10 |
| 1669701157 | Glastonbury Surgery Center | Clinic/Center | 195 Eastern Blvd, Glastonbury, CT 06033-1208 | 2009-12-14 |
| 1275714123 | Hartford Orthopaedic Plastic & Hand Surgeons, Inc | Durable Medical Equipment & Medical Supplies | 195 Eastern Blvd, Suite 200, Glastonbury, CT 06033-1208 | 2007-11-20 |
| 1417147406 | John Vischio | Internal Medicine | 195 Eastern Blvd, Suite 201, Glastonbury, CT 06033-1208 | 2007-07-26 |
| 1295889970 | Hartford Orthopaedic Plastic & Hand Surgeons, Inc. | Durable Medical Equipment & Medical Supplies | 195 Eastern Blvd, Suite 200, Glastonbury, CT 06033-1208 | 2007-01-22 |
| 1548360126 | Roxanne Dunwoody | Physical Therapist | 195 Eastern Blvd, Suite 200, Glastonbury, CT 06033-1208 | 2006-09-24 |
| 1053410712 | Ralph Peter Stocker | Internal Medicine | 195 Eastern Blvd, # 201, Glastonbury, CT 06033-1208 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1770993693 | Jared Potts | Orthopaedic Surgery | 195 Eastern Blvd Ste 200, Glastonbury, CT 06033-4353 | 2014-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093292310 | Physicians Alliance of Connecticut, LLC | Orthopaedic Surgery | 350 Goose Ln Ste 203b, Guilford, CT 06437-2158 | 2018-07-20 |
| 1790962140 | Michael Legeyt Md LLC | Orthopaedic Surgery | 255 North Main St, Bristol, CT 06010 | 2008-01-29 |
| 1104024728 | Coastal Orthopaedics, PC | Orthopaedic Surgery | 36 Old Kings Hwy South, Darien, CT 06880 | 2007-07-05 |
| 1740484187 | Stewart Cory Gross | Orthopaedic Surgery | 2660 Main St Ste 311, Bridgeport, CT 06606-5301 | 2007-06-11 |
| 1306886163 | Terrence K Donahue | Orthopaedic Surgery | 40 Hart Street, Bldg D, New Britain, CT 06052 | 2006-06-08 |
| 1659335297 | John J Mara | Orthopaedic Surgery | 1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067 | 2006-04-12 |
| 1053308361 | Andrew J Nelson | Orthopaedic Surgery | 500 Chase Parkway, Noss, Waterbury, CT 06708-3119 | 2005-10-03 |
| 1487649570 | Andrew G Gabow | Orthopaedic Surgery | 510 Cottage Grove Rd, Bloomfield, CT 06002-3123 | 2005-09-14 |
| 1396730487 | Michael Aron | Orthopaedic Surgery | 1000 Asylum Ave Ste 3220, Hartford, CT 06105-1702 | 2005-09-14 |
| 1881150720 | Physicians Alliance of Connecticut, LLC | Orthopaedic Surgery | 350 Goose Ln Ste 203b, Guilford, CT 06437-2158 | 2019-02-15 |
| Find all providers with the same taxonomy | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
Please comment or provide details below to improve the information on DR. DANIEL J MASTELLA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.