DR. CHARLES EDWARD RAFTERY (NPI# 1558360636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558360636 |
| Entity Type | Individual |
| Full Name | DR. CHARLES EDWARD RAFTERY |
| Credential | MD |
| Practice Address |
1579 Straits Tpke Middlebury CT 06762-1835 |
| Practice Telephone | 2037582003 |
| Practice Fax Number | 2037582144 |
| Mailing Telephone | 2037582003 |
| Mailing Fax Number | 2037582144 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2008-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
041372 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MEDICARE RAILROAD | P00357466 | 01 |
| Street Address |
1579 STRAITS TPKE |
| City | MIDDLEBURY |
| State | CT |
| Zip Code | 06762-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176423 | Karen Howe | Physical Therapist | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2005-07-07 |
| 1790270825 | Timothy Raymond Lebel | Physician Assistant | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2018-07-01 |
| 1477004612 | Erin Shaw | Nurse Practitioner | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2016-10-24 |
| 1316491004 | Seasons Medical Group of Connecticut PC | Family Medicine | 1579 Straits Tpke, Suite 1e, Middlebury, CT 06762-1835 | 2016-08-10 |
| 1437519949 | Jennifer L Crowther | Physician Assistant | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2016-02-25 |
| 1053714170 | Muneera Panjwani | Nurse Practitioner | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2014-10-02 |
| 1871901132 | Edmond Michael Daniells | Chiropractor | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2014-07-30 |
| 1639506967 | Hans Knopp | Physical Medicine & Rehabilitation | 1579 Straits Tpke, Middlebury, CT 06762 | 2013-10-01 |
| 1669726477 | Seasons Hospice & Palliative Care of Connecticut, LLC | Hospice Care, Community Based | 1579 Straits Tpke, Ste 1e, Middlebury, CT 06762-1835 | 2012-10-31 |
| 1093068405 | Robert S Wetmore Md PC | Orthopaedic Surgery | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2012-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164895314 | Naugatuck Valley Womens Health Specialists PC | Obstetrics & Gynecology | 686 Straits Turnpike, 2a, Middlebury, CT 06762 | 2015-11-10 |
| 1588047153 | Princess Corset & Lingerie Shop II, LLC | Durable Medical Equipment & Medical Supplies | 900 Straits Turnpike, Suite 1 G, Middlebury, CT 06762 | 2015-07-01 |
| 1437423985 | Gretchen R. Cianciola | Dental Hygienist | 12 Nantucket Way, Middlebury, CT 06762 | 2012-03-01 |
| 1124395223 | Tlc Homecare LLC | Home Health | 900 Straits Tpke Ste 205, Middlebury, CT 06762 | 2011-11-18 |
| 1588893952 | Catherine Ann Accashian | Occupational Therapist | 778 Middlebury Road, Middlebury Convalescent Center, Middlebury, CT 06762 | 2009-07-07 |
| 1013081819 | Waltor M Phillips | Psychologist | 415 Middlebury Road, Middlebury, CT 06762 | 2006-11-20 |
| 1518922608 | W Kenneth Miner | Physician Assistant | 1579 Straits Turnpike, Turnpike Office Park, Middlebury, CT 06762 | 2006-04-20 |
| 1952366072 | John M Keggi | Orthopaedic Surgery | 1579 Straits Turnpike, Suite E, Orthopaedics New England PC, Middlebury, CT 06762 | 2006-04-20 |
| 1568443125 | Stanley J Foster IIi | Plastic Surgery | 1625 Straits Turnpike, Suite 108, Middlebury, CT 06762 | 2005-11-10 |
| 1932556602 | Karissa Piedescalzo | Social Worker | 850 Straits Tpke Ste 201, Middlebury, CT 06762 | 2016-05-23 |
| Find all providers in zip 06762 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376742031 | Connecticut Spine and Disc | Orthopaedic Surgery | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942629969 | Benjamin Geddes | Orthopaedic Surgery | 800 Howard Ave Rm Ypb 133, New Haven, CT 06519-1369 | 2014-04-08 |
| 1407942055 | Mark H Blechner | Orthopaedic Surgery | 2 Trap Falls Ste 404, Shelton, CT 06484-7622 | 2006-10-04 |
| 1033224498 | New Milford Spine and Orthopedic Institute, PC | Orthopaedic Surgery | 9 East St, Litchfield, CT 06759-3601 | 2006-08-19 |
| 1619996410 | David Aaron Bomback | Orthopaedic Surgery | 39 Hospital Ave, Danbury, CT 06810-6027 | 2006-07-19 |
| 1144781386 | Sct Care of Ct, LLC | Orthopaedic Surgery | 2389 Main St, Glastonbury, CT 06033-4617 | 2019-03-29 |
| 1457797276 | Raj Jitendra Gala | Orthopaedic Surgery | 39 Hospital Ave, Danbury, CT 06810 | 2013-05-20 |
| 1114219623 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 20 Commerce Park, Milford, CT 06460-3511 | 2011-05-03 |
| 1174784797 | Applegate Orthopedic Spine Center PC | Orthopaedic Surgery | 5 Pequot Park Rd, Suite 201a, Westbrook, CT 06498-2856 | 2008-06-17 |
| 1326225079 | William Donald Long IIi | Orthopaedic Surgery | 20 York Street, Yale-new Haven Hospital, New Haven, CT 06510 | 2008-01-24 |
| 1154526705 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 339 Boston Post Rd, Orange, CT 06477-3560 | 2007-06-15 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURY |
| Zip Code | 06762 |
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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.