CONNECTICUT SURGICAL GROUP, PC
NPI 1164406518
Urology in Glastonbury,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 30, 2005

Contact Information

330 Western Blvd
Glastonbury,
Post Code: 06033
Phone: (860) 246-2071
Fax: (860) 524-2650

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Connecticut Surgical Group, Pc in Glastonbury - Urology

Connecticut Surgical Group, Pc is a Urology in Glastonbury, . Connecticut Surgical Group, Pc practices all healthcare services and medical treatments related to Urology. The NPI Number for Connecticut Surgical Group, Pc is 1164406518. The last update date is 2010-08-11.

Connecticut Surgical Group, Pc's current location address is 330 Western Blvd, Glastonbury, . You can contact this provider via phone number (860) 246-2071 and fax number (860) 524-2650. The mailing address for Connecticut Surgical Group, Pc is 330 Western Blvd, Glastonbury, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1164406518
Provider Legal Name
CONNECTICUT SURGICAL GROUP, PC
Other Organization Name
CONNECTICUT SURGICAL GROUP, PC
Other Name Type
-
Entity Type
Organization
Location Address
330 Western Blvd, Glastonbury,
Location Phone
(860) 246-2071
Location Fax
(860) 524-2650
Mailing Address
17 Talcott Notch Rd, Farmington, Connecticut(CT)
Mailing Phone
860-246-2071
Mailing Fax
860-524-2650
Enumeration Date
2005-11-30
Last Update Date
2010-08-11
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 208800000X Urology Physician

Urology

()
2 208C00000X Colon & Rectal Surgery Physician

Colon & Rectal Surgery

()
3 2086X0206X Surgical Oncology Physician

Surgery, Surgical Oncology

()
4 208600000X Surgery Physician

Surgery

()
5 2086S0105X Surgery of the Hand (Surgery) Physician

Surgery, Surgery of the Hand

()
6 2086S0122X Plastic and Reconstructive Surgery Physician

Surgery, Plastic and Reconstructive Surgery

()
7 208200000X Plastic Surgery Physician

Plastic Surgery

()
8 213E00000X Podiatrist

Podiatrist

()
9 213ES0103X Foot & Ankle Surgery Podiatrist

Podiatrist, Foot & Ankle Surgery

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0040201034 MEDICAID (05) Connecticut (CT)
004069711 MEDICAID (05) Connecticut (CT)
004139350 MEDICAID (05) Connecticut (CT)
01926310 MEDICAID (05) New York (NY)
50CONNSURCT01 Other (non-Medicare) (01) Connecticut (CT) Anthem BCBS
9781188 MEDICAID (05) Massachusetts (MA)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164406518
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124801252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21124801252
2 + 1 + 1 + 2 + 4 + 8 + 0 + 1 + 2 + 5 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8 8

The NPI number 1164406518 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011145 MICHAEL THERRIEN
Individual
Internal Medicine, Cardiovascular Disease 1000 ASYLUM AVE
HARTFORD, Connecticut (CT)
860-714-6581
1114920212 ANNE E CICALE
Individual
Nurse Practitioner, Family NP RESOURCES, LLC
SHELTON, Connecticut (CT)
203-925-9600
1083617161 ANITA KELSEY
Individual
Internal Medicine, Cardiovascular Disease 1000 ASYLUM AVE
HARTFORD, Connecticut (CT)
860-714-6581
1083617831 JANET SEGEN
Individual
Nurse Anesthetist, Certified Registered 24 STEVENS ST
NORWALK, Connecticut (CT)
203-852-2276
1144223991 EVE ZACHARAKOS
Individual
Nurse Anesthetist, Certified Registered PO BOX 2005
EAST SYRACUSE, New York (NY)
315-449-0513