CONNECTICUT NECK & BACK SPECIALISTS LLC (NPI# 1356412779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356412779 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT NECK & BACK SPECIALISTS LLC |
| Practice Address |
39 Hospital Ave Danbury CT 06810-6027 |
| Mailing Address |
Po Box 4110 Dept 3500 Woburn MA 01888-4110 |
| Practice Telephone | 2037449700 |
| Practice Fax Number | 2037449702 |
| Mailing Telephone | 8887473070 |
| Mailing Fax Number | 2037449702 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | REGINA (CATHY) WATTS (INSURANCE & REIMBURSEMENT MANAGER) |
| Authorized Official Telephone | 2037449700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | CT | Allopathic & Osteopathic Physicians |
| Street Address |
39 HOSPITAL AVE |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619996410 | David Aaron Bomback | Orthopaedic Surgery | 39 Hospital Ave, Danbury, CT 06810-6027 | 2006-07-19 |
| 1700340411 | Elizabeth Darlene Haylette | Physician Assistant | 39 Hospital Ave, Danbury, CT 06810-6027 | 2019-01-27 |
| 1457797276 | Raj Jitendra Gala | Orthopaedic Surgery | 39 Hospital Ave, Danbury, CT 06810 | 2013-05-20 |
| 1649299454 | David L Kramer | Orthopaedic Surgery | 39 Hospital Ave, Danbury, CT 06810-6027 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 |
|---|---|---|---|---|
| 1427533959 | Somers Orthopaedic Surgery & Sports Medicine Group Pllc | Orthopaedic Surgery | 40 Old Ridgebury Rd Ste 101, Danbury, CT 06810-5119 | 2018-10-01 |
| 1548401847 | Robert Pearce Fornshell | Orthopaedic Surgery | 33 Lindencrest Dr, Danbury, CT 06811-4218 | 2009-03-16 |
| 1861498453 | Frank Ulrich Hermantin | Orthopaedic Surgery | 226 White St, Danbury, CT 06810-6814 | 2005-06-28 |
| 1639580665 | Theodore Samuel Wolfson | Orthopaedic Surgery | 2 Riverview Dr, Danbury, CT 06810-6268 | 2014-05-13 |
| 1265723266 | Alexander Daekyung Choo | Orthopaedic Surgery | 33 Hospital Ave, Danbury, CT 06810-6007 | 2011-04-25 |
| 1306072038 | Aaron N Insel | Orthopaedic Surgery | 2 Riverview Dr, Danbury, CT 06810-6268 | 2009-06-09 |
| 1366622920 | Angelo M Ciminiello | Orthopaedic Surgery | 226 White St, Danbury, CT 06810-6814 | 2007-11-11 |
| 1053526384 | John Patrick Dunleavy | Orthopaedic Surgery | 73 Sand Pit Rd, Suite 204, Danbury, CT 06810-4042 | 2007-05-11 |
| 1194845479 | Philip J Mulieri | Orthopaedic Surgery | 2 Riverview Dr, Danbury, CT 06810 | 2007-03-30 |
| 1780712463 | Randolph J Sealey | Orthopaedic Surgery | 2 Riverview Dr, Danbury, CT 06810-6268 | 2007-03-02 |
| Find all providers in DANBURY | ||||
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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.