DR. JON C DRISCOLL (NPI# 1386667574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386667574 |
| Entity Type | Individual |
| Full Name | DR. JON C DRISCOLL |
| Credential | M.D. |
| Practice Address |
863 N Main Street Ext Suite 200 Wallingford CT 06492-2434 |
| Practice Telephone | 2032653280 |
| Practice Fax Number | 2037416575 |
| Mailing Telephone | 2032653280 |
| Mailing Fax Number | 2037416569 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 039464 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001394642 | 05 |
| Street Address |
863 N MAIN STREET EXT SUITE 200 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629052519 | Gary J. Dee | Radiology | 863 N Main Street Ext, Wallingford, CT 06492-2434 | 2005-12-04 |
| 1346554599 | Kavita R Patel | Registered Nurse | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2010-07-29 |
| 1831427715 | Meriden Imaging Center | Radiology | 863 N Main Street Ext, Wallingford, CT 06492-2434 | 2009-12-03 |
| 1073755534 | Colleen Sherkow | Internal Medicine | 863 N Main Street Ext, Suite 103, Wallingford, CT 06492-2434 | 2009-03-30 |
| 1477713998 | Keith P Aldrich | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2008-06-10 |
| 1215194105 | Aaron Saul Covey | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2008-05-19 |
| 1346263456 | Leonard A Kolstad | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2006-07-26 |
| 1275554438 | Ronald S Paret | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2006-07-22 |
| 1275551517 | Elizabeth F Cook | Specialist | 863 N Main Street Ext, Ste 200, Wallingford, CT 06492-2434 | 2006-07-17 |
| 1508812561 | Meriden Imaging Center, Inc. | Radiology | 863 N Main Street Ext, Wallingford, CT 06492-2434 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| 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 |
|---|---|---|---|---|
| 1407879521 | Jeffrey T Pravda | Orthopaedic Surgery | 863 N. Main St. Ext., Suite 200, Wallingford, CT 06492-1832 | 2006-07-26 |
| 1598747602 | Alfredo Luis Axtmayer | Orthopaedic Surgery | 8 Research Pkwy, Wallingford, CT 06492-1929 | 2005-11-15 |
| 1659816627 | Docaxt, Inc | Orthopaedic Surgery | 85 Barnes Rd, Suite 301, Wallingford, CT 06492-1832 | 2016-12-30 |
| 1366731069 | Craig R. Foster, Md, LLC | Orthopaedic Surgery | 8 Research Pkwy, Wallingford, CT 06492-1930 | 2011-04-04 |
| 1477713998 | Keith P Aldrich | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2008-06-10 |
| 1215194105 | Aaron Saul Covey | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2008-05-19 |
| 1740481514 | Alfredo L. Axtmayer M.d. P.C. | Orthopaedic Surgery | 8 Research Pkwy, Wallingford, CT 06492-1929 | 2007-05-30 |
| 1346263456 | Leonard A Kolstad | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2006-07-26 |
| 1275554438 | Ronald S Paret | Orthopaedic Surgery | 863 N Main Street Ext, Suite 200, Wallingford, CT 06492-2434 | 2006-07-22 |
| 1750302816 | Paul H Zimmering | Orthopaedic Surgery | 85 Barnes Rd, Wallingford, CT 06492-1832 | 2006-07-22 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
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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.