Surgical Specialists Pc
LBN: Surgical Specialists Pc
Surgical Specialists Pc is an health care organization with primary practice located at 134 Grandview Ave Suite 209, Waterbury CT 06708-2507. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Surgical Specialists Pc can be contacted via phone (203) 755-6666, or through Shetty, Jayakara via phone (203) 755-6666.
Contact Information
Primary practice address
134 Grandview Ave Suite 209
Waterbury CT 06708-2507
Phone: (203) 755-6666
Fax: (203) 573-6735
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 024773 | Connecticut |
Profile Details
| NPI number | 1497874945 |
|---|---|
| LBN Legal business name | Surgical Specialists Pc |
| DBA Doing business as | |
| Authorized official | Shetty, Jayakara Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Nov 3rd, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497874945 | NPPES |
| Connecticut | Other | 020045404 | RAILROAD MEDICARE |
| Connecticut | Other | 0R0463 | RAILROAD MEDICARE |
| Connecticut | Other | 556517 | RAILROAD MEDICARE |
| Connecticut | Other | 010024773CT02 | RAILROAD MEDICARE |
| Connecticut | Other | 0199318 | RAILROAD MEDICARE |
| Connecticut | Other | 130555 | RAILROAD MEDICARE |
| Connecticut | MEDICAID | 001247733 | RAILROAD MEDICARE |
| Connecticut | Other | 024773 | RAILROAD MEDICARE |
| Connecticut | Other | 130555 | RAILROAD MEDICARE |
| Connecticut | Other | NHS039 | RAILROAD MEDICARE |
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