SCOVILLE PROSTHETICS,INC. (NPI# 1285636548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285636548 |
| Entity Type | Organization |
| Organization Name | SCOVILLE PROSTHETICS,INC. |
| Practice Address |
197 New Britain Ave Hartford CT 06106-3124 |
| Practice Telephone | 8602473209 |
| Practice Fax Number | 8602471994 |
| Mailing Telephone | 8602473209 |
| Mailing Fax Number | 8602471994 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TIMOTHY KARL SHRIEL (PRESIDENT) |
| Authorized Official Telephone | 8602473209 |
| Authorized Official Credential | C.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEN BC/BS OF CT. | 12DME0481CT01 | 01 |
| CT | 4012258 | 05 |
| Street Address |
197 NEW BRITAIN AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679043525 | Adaptive Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 100 Retreat Ave Ste 302, Hartford, CT 06106-2528 | 2018-12-04 |
| 1891187399 | Associated Medical Inc | Prosthetic/Orthotic Supplier | 85 Retreat Ave Ste 1, Cancer Center Boutique Hartford Hospital, Hartford, CT 06106-2555 | 2015-02-20 |
| 1972907954 | Greater Hartford Orthopedic Group | Prosthetic/Orthotic Supplier | 1000 Asylum Ave, Suite 2126, Hartford, CT 06105-1770 | 2014-10-20 |
| 1184803231 | Suburban Pharmacy | Prosthetic/Orthotic Supplier | 100 Retreat Ave, Hartford, CT 06106-2528 | 2007-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487214326 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 100 Water St Ste A, Norwalk, CT 06854-3067 | 2019-06-13 |
| 1396231189 | Prosthetic & Orthotic Solutions, LLC. | Prosthetic/Orthotic Supplier | 45 Wintonbury Ave Ste 311, Bloomfield, CT 06002-2470 | 2018-07-05 |
| 1437662624 | Adaptive Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 567 Vauxhall Street Ext Ste 109, Waterford, CT 06385-4331 | 2017-11-09 |
| 1972027043 | Macy Op | Prosthetic/Orthotic Supplier | 305 Flanders Rd Unit 2, East Lyme, CT 06333-1743 | 2017-08-01 |
| 1467994731 | Adaptive Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 113 Salem Tpke Ste 6, Norwich, CT 06360-6484 | 2016-11-17 |
| 1225580087 | Lavant Garde Hair | Prosthetic/Orthotic Supplier | 580 Newfield Ave, Bridgeport, CT 06607-1718 | 2016-10-27 |
| 1063828747 | Gregory Carford | Prosthetic/Orthotic Supplier | 37 Hunt St, Norwalk, CT 06853-1045 | 2014-07-02 |
| 1306267034 | Live Every Day | Prosthetic/Orthotic Supplier | 138 Hopmeadow St, Weatogue, CT 06089-9793 | 2013-12-24 |
| 1497090641 | Mobile Orthotic & Prosthetic Services | Prosthetic/Orthotic Supplier | 429 Salem St, Bridgeport, CT 06606-4684 | 2012-11-28 |
| 1457605784 | Hair Stop | Prosthetic/Orthotic Supplier | 41 Poquonock Ave, Windsor, CT 06095-2540 | 2012-11-08 |
| Find all providers with the same taxonomy | ||||
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| 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.