DOUGLAS C WISCH (NPI# 1710931738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710931738 |
| Entity Type | Individual |
| Full Name | DOUGLAS C WISCH |
| Credential | MD |
| Practice Address |
245 Alvord Park Rd Torrington CT 06790 |
| Practice Telephone | 8604828539 |
| Practice Fax Number | 8604820258 |
| Mailing Telephone | 8604828539 |
| Mailing Fax Number | 8604820258 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2014-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 032872 | CT | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
032872 | CT | Allopathic & Osteopathic Physicians |
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
032872 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001328724 | 05 | |
| CT | AETNA | 2205151 | 01 |
| CT | BC | 010032872CT01 | 01 |
| Street Address |
245 ALVORD PARK RD |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770576936 | Robert L Lindenberg | Internal Medicine | 245 Alvord Park Rd, Bldg B, Torrington, CT 06790-3493 | 2005-08-23 |
| 1255984415 | Ariel K Cerruto | Occupational Therapist | 245 Alvord Park Rd, Torrington, CT 06790-3493 | 2019-07-17 |
| 1639697410 | Jennifer Haynes | Occupational Therapist | 245 Alvord Park Rd, Torrington, CT 06790-3493 | 2017-08-31 |
| 1023463619 | Heather Mogielnicki | Occupational Therapist | 245 Alvord Park Rd, Torrington, CT 06790-3493 | 2016-05-02 |
| 1760883615 | Amanda Dileo | Physical Therapist | 245 Alvord Park Rd, Torrington, CT 06790-3493 | 2014-09-10 |
| 1992125330 | Maletta Pfeiffer & Associates, L.L.C. | Clinic/Center | 245 Alvord Park Rd, Torrington, CT 06790-3493 | 2014-04-24 |
| 1205263670 | Valerie Simons | Physician Assistant | 245 Alvord Park Rd, Torrington, CT 06790-3493 | 2013-10-01 |
| 1689928897 | Lindsey Marie Scianna | Physical Therapist | 245 Alvord Park Rd, Torrington, CT 06790-3493 | 2012-11-09 |
| 1609147826 | Kristen E Darson | Physician Assistant | 245 Alvord Park Rd, Torrington, CT 06790-3493 | 2012-01-19 |
| 1558660571 | Kendyl E Holmes | Physical Therapist | 245 Alvord Park Rd, Torrington, CT 06790-3493 | 2011-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606516 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1280 East Main Street, Torrington, CT 06790 | 2020-10-15 |
| 1477118214 | Heller Counseling Services LLC | Counselor | 100 Migeon Ave., Torrington, CT 06790 | 2019-05-07 |
| 1760964704 | Sheethal Joseph Mathew | Dental Hygienist | 49 South Main Street, Torrington, CT 06790 | 2018-09-06 |
| 1134607708 | Julia Baiju | Physical Therapist | 245 Alvord Park Rd Ste A2, Torrington, CT 06790 | 2018-08-05 |
| 1982194585 | Wellness At Home, LLC | Social Worker | 254 Eno Ave, Torrington, CT 06790 | 2018-05-18 |
| 1285142646 | A Step Up Counseling LLC | Counselor | 185 E Elm St, #2057, Torrington, CT 06790 | 2018-01-18 |
| 1093232597 | Joongwan Jay Kim | Pharmacist | 28 E Elm Street, Torrington, CT 06790 | 2017-08-25 |
| 1861869018 | Breanna M Berg | Physical Therapist | 30 Peck Road, Building #1; Suite 1101, Torrington, CT 06790 | 2015-08-24 |
| 1831570803 | Valerie Lange | Counselor | 326 Albany Turnpike, Canton, CT 06790 | 2015-06-15 |
| 1992120646 | Fitness Pantheon, LLC | Clinic/Center | 221 Water Street, Torrington, CT 06790 | 2014-03-04 |
| Find all providers in zip 06790 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 |
|---|---|---|---|---|
| 1093292310 | Physicians Alliance of Connecticut, LLC | Orthopaedic Surgery | 350 Goose Ln Ste 203b, Guilford, CT 06437-2158 | 2018-07-20 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1790962140 | Michael Legeyt Md LLC | Orthopaedic Surgery | 255 North Main St, Bristol, CT 06010 | 2008-01-29 |
| 1104024728 | Coastal Orthopaedics, PC | Orthopaedic Surgery | 36 Old Kings Hwy South, Darien, CT 06880 | 2007-07-05 |
| 1740484187 | Stewart Cory Gross | Orthopaedic Surgery | 2660 Main St Ste 311, Bridgeport, CT 06606-5301 | 2007-06-11 |
| 1306886163 | Terrence K Donahue | Orthopaedic Surgery | 40 Hart Street, Bldg D, New Britain, CT 06052 | 2006-06-08 |
| 1659335297 | John J Mara | Orthopaedic Surgery | 1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067 | 2006-04-12 |
| 1053308361 | Andrew J Nelson | Orthopaedic Surgery | 500 Chase Parkway, Noss, Waterbury, CT 06708-3119 | 2005-10-03 |
| 1487649570 | Andrew G Gabow | Orthopaedic Surgery | 510 Cottage Grove Rd, Bloomfield, CT 06002-3123 | 2005-09-14 |
| 1396730487 | Michael Aron | Orthopaedic Surgery | 1000 Asylum Ave Ste 3220, Hartford, CT 06105-1702 | 2005-09-14 |
| Find all providers with the same taxonomy | ||||
| City | TORRINGTON |
| Zip Code | 06790 |
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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.