SURGICAL ASSOCIATES OF WATERBURY, P.C. (NPI# 1285848044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285848044 |
| Entity Type | Organization |
| Organization Name | SURGICAL ASSOCIATES OF WATERBURY, P.C. |
| Practice Address |
1211 W Main St Waterbury CT 06708-3106 |
| Practice Telephone | 2037571587 |
| Practice Fax Number | 2035736090 |
| Mailing Telephone | 2037571587 |
| Mailing Fax Number | 2035736090 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID KNIGHT (PRESIDENT) |
| Authorized Official Telephone | 2037571587 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1211 W MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891777918 | Alan Robert Houle | Physician Assistant | 1211 W Main St, Waterbury, CT 06708-3106 | 2005-11-15 |
| 1487108502 | Joanna Fisher | Physical Therapist | 1211 W Main St, Waterbury, CT 06708-3106 | 2016-08-05 |
| 1528511730 | Joseph Mabry | Physical Therapy Assistant | 1211 W Main St, Waterbury, CT 06708-3106 | 2016-07-25 |
| 1750687901 | Ronald Matthew Barbieri | Physical Therapist | 1211 W Main St, Waterbury, CT 06708-3106 | 2011-02-07 |
| 1588810386 | Jessica Vinokur | Podiatrist | 1211 W Main St, Waterbury, CT 06708-3106 | 2008-08-12 |
| 1275721557 | John J. Mazzucco, Md, LLC | Clinic/Center | 1211 W Main St, Waterbury, CT 06708-3106 | 2007-10-11 |
| 1003008343 | Bruce & Marilyn Vinokur Foot Care Group LLC | Durable Medical Equipment & Medical Supplies | 1211 W Main St, Waterbury, CT 06708-3106 | 2007-08-10 |
| 1558563957 | Waterbury Orthopaedic Associates PC | Physical Therapist | 1211 W Main St, Waterbury, CT 06708-3106 | 2007-06-05 |
| 1740303544 | Teresa Michelle Mariani | Orthopaedic Surgery | 1211 W Main St, Waterbury, CT 06708-3106 | 2007-04-08 |
| 1982775276 | Waterbury Orthopaedic Associates P C | Durable Medical Equipment & Medical Supplies | 1211 W Main St, Waterbury, CT 06708-3106 | 2006-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407121437 | Raafat R Tadros | Surgery | 46 Mayfield Rd, Waterbury, CT 06708-3208 | 2012-03-08 |
| 1730475658 | Diane N Lusas | Surgery | 417 Highland Ave Ste 2, Waterbury, CT 06708 | 2011-06-20 |
| 1144551326 | Andrew John Erickson | Surgery | 38 State Farm Rd Fl 1, Waterbury, VT 05676-1607 | 2010-01-27 |
| 1457984502 | Andrew Erickson Md Plc | Surgery | 38 State Farm Rd Fl 1, Waterbury, VT 05676-1607 | 2020-02-18 |
| 1487885190 | Iyare Osayi Esemuede | Surgery | 133 Scovill St Ste 303, Waterbury, CT 06706-1127 | 2009-07-29 |
| 1073772356 | Shohan Shetty | Surgery | 133 Scovill St, Waterbury, CT 06706 | 2008-06-03 |
| 1528241080 | Shady Macaron | Surgery | 56 Franklin St, Waterbury, CT 06706-1253 | 2007-12-07 |
| 1215124698 | Thomas Raymond Alosco | Surgery | 475 Chase Pkwy, Waterbury, CT 06708 | 2007-09-28 |
| 1942237516 | J. Alexander Palesty | Surgery | 56 Franklin St, Waterbury, CT 06706-1221 | 2006-06-27 |
| 1699702357 | Michael Stephen Ajemian | Surgery | 56 Franklin St, Waterbury, CT 06706-1221 | 2006-06-27 |
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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.