DR. ANDREW NICOLAS BAZOS (NPI# 1568551927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568551927 |
| Entity Type | Individual |
| Full Name | DR. ANDREW NICOLAS BAZOS |
| Credential | MD |
| Practice Address |
131 Kent Rd New Milford CT 06776-3485 |
| Practice Telephone | 8603558000 |
| Practice Fax Number | 8603506291 |
| Mailing Telephone | 8603558000 |
| Mailing Fax Number | 8603506291 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
176339 | NY | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
033406 | CT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 244 W 54th St Fl 10, New York, NY 100195597 | 2122623079 |
| Street Address |
131 KENT RD |
| City | NEW MILFORD |
| State | CT |
| Zip Code | 06776-3485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808767 | Edmund Anthony Ganal | Orthopaedic Surgery | 131 Kent Rd, New Milford, CT 06776-3485 | 2005-08-18 |
| 1588141212 | Timothy Michael Lampron | Specialist/Technologist | 131 Kent Rd, New Milford, CT 06776-3485 | 2018-07-25 |
| 1780120949 | Jacquelyn Shirley Budlowski | Dietitian, Registered | 131 Kent Rd, New Milford, CT 06776-3485 | 2017-01-12 |
| 1730632365 | Gregorio Fata | Physical Therapist | 131 Kent Rd, New Milford, CT 06776-3485 | 2016-08-01 |
| 1245690106 | Scott Hinman | Physician Assistant | 131 Kent Rd, New Milford, CT 06776 | 2016-03-04 |
| 1326424490 | Danielle Marie Bresson | Physical Therapist | 131 Kent Rd, New Milford, CT 06776-3485 | 2015-07-30 |
| 1235519026 | Northeast Radiology of Connecticut | Radiology | 131 Kent Rd, Building A, Suite 102, New Milford, CT 06776-3485 | 2015-06-05 |
| 1336542968 | Kara Anne Leake | Occupational Therapist | 131 Kent Rd, New Milford, CT 06776-3485 | 2014-09-26 |
| 1699104133 | Ryan Martin Bohdan | Physical Therapist | 131 Kent Rd, New Milford, CT 06776-3485 | 2013-11-05 |
| 1497184246 | Select Physical Therapy | Clinic/Center | 131 Kent Rd, New Milford, CT 06776-3485 | 2013-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
| 1477715035 | Abra Grize Mabasa | Family Medicine | 169 Danberry Rd., New Milford, CT 06776 | 2008-06-25 |
| 1134393259 | Brian A Fusillo | Dentist | One Aspetuck Ave, New Milford, CT 06776 | 2008-04-18 |
| 1972791499 | New Milford Chiropractic | Chiropractor | 5 Old Town Park Road, South End Plaza Unit 70, New Milford, CT 06776 | 2007-10-10 |
| 1366637084 | Mary Mackessy | Emergency Medicine | 21 Elm Street, New Milford, CT 06776 | 2007-09-06 |
| 1659407021 | Margaret Martha Babington | Specialist/Technologist | 101 Aspetuck Ave, Canterbury School, New Milford, CT 06776 | 2007-02-27 |
| 1053448456 | Lisa Gay Witham | Specialist/Technologist | 101 Aspetuck Ave., Canterbury School, New Milford, NH 06776 | 2007-02-27 |
| 1710049754 | Linda Gail Smith | Social Worker | New Milford Hospital Behavioral Health Services, 18 Elm St, New Milford, CT 06776 | 2006-12-15 |
| 1881777597 | Candlewood New Milford LLC | Skilled Nursing Facility | 30 Park Lane East, New Milford, CT 06776 | 2006-10-24 |
| 1417030651 | Interface Center Inc | Counselor | 46 Danbury Rd, Suite 6, New Milford, CT 06776 | 2006-10-23 |
| Find all providers in zip 06776 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467745679 | Sports Medicine and Orthopedic Surgery | Orthopaedic Surgery | 100 Gerber Dr, Suite 2a, Tolland, CT 06084-2851 | 2011-05-20 |
| 1164713681 | Paul Matthew Tomaszewski | Orthopaedic Surgery | 900 Main St S Ste 3, Southbury, CT 06488-4214 | 2011-05-02 |
| 1609186485 | The Sports Centre, LLC | Orthopaedic Surgery | 5 Founders St Ste 204, Willimantic, CT 06226-2057 | 2010-10-14 |
| 1194773382 | Connecticut Orthopaedic and Hand Surgery Center, P.C. | Orthopaedic Surgery | 5 Founders St., Suite 202, Willimantic, CT 06226 | 2006-05-04 |
| 1669420899 | Vincent I. Macandrew Jr. | Orthopaedic Surgery | 150 Mansfield Ave, Willimantic, CT 06226-2026 | 2006-05-04 |
| 1639149073 | Barry N. Messinger | Orthopaedic Surgery | 9 Bruce Rd, Manchester, CT 06040-7008 | 2006-01-26 |
| 1609867407 | Joel Howard Eisenberg | Orthopaedic Surgery | 6515 Main St, Suite 2, Trumbull, CT 06611-1354 | 2005-10-31 |
| 1982602868 | Michael Edward Joyce | Orthopaedic Surgery | 84 Glastonbury Blvd, Blvd, Glastonbury, CT 06033-4468 | 2005-07-13 |
| 1679578462 | Craig D. Tifford | Orthopaedic Surgery | 31 Strawberry Hill Ave, Stamford, CT 06902-2608 | 2005-06-17 |
| 1518438829 | Health Quest Medical Practice, PC | Orthopaedic Surgery | 50 Hospital Hill Rd, Sharon, CT 06069-2096 | 2018-12-13 |
| Find all providers with the same taxonomy | ||||
| City | NEW MILFORD |
| Zip Code | 06776 |
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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.