Active NPIOrganization

Shoreline Orthopedics & Sports Medicine, LLC

Orthopaedic Surgery in Essex, Connecticut

NPI Number1861425597
Practice location
12 Bokum RD, Essex, CT 06426-1500
Fax
860-767-1146
Last updated
December 8, 2011

Shoreline Orthopedics & Sports Medicine, LLC is a healthcare organization based in Essex, CT. Shoreline Orthopedics & Sports Medicine, LLC practices in Essex, CT. The NPI Number for Shoreline Orthopedics & Sports Medicine, LLC is 1861425597 and holds a License No. 027273 (CT). The current practice location address for Shoreline Orthopedics & Sports Medicine, LLC is 12 Bokum RD, Essex, CT 06426-1500 and can be reached out via phone at 860-767-9053 and via fax at 860-767-1146.

Provider Profile Details

NPI Number
1861425597
Provider Name
Shoreline Orthopedics & Sports Medicine, LLC
Provider Entity Type
Organization
Address
12 Bokum RD, Essex, CT 06426-1500
Phone Number
860-767-9053
Fax Number
860-767-1146
Primary Taxonomy
Orthopaedic Surgery · 207X00000X
Organization Subpart
No
Authorized Official
Martin Jeffrey White, MD · Physician Partner · 860-767-9053
Provider Enumeration Date
July 8, 2006
Last Update Date
December 8, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Bokum RD
Essex, CT 06426-1500
City
Essex
Zip
06426-1500
Phone Number
860-767-9053
Fax Number
860-767-1146
Essex, CT 06426Get directions →

Provider Business Mailing Address Details

Address
12 Bokum RD
Essex, CT 06426-1500
City
Essex
State
CT
Zip
06426-1500
Phone Number
860-767-9053
Fax Number
860-767-1146

License Information

License Number (1)
027273
License State (1)
CT
Taxonomy (2)
Orthopaedic Surgery · 207X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shoreline Orthopedics & Sports Medicine, LLC?

The NPI number of Shoreline Orthopedics & Sports Medicine, LLC is 1861425597. It was assigned on July 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Shoreline Orthopedics & Sports Medicine, LLC?

Shoreline Orthopedics & Sports Medicine, LLC is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in CT under license number 027273.

Where does Shoreline Orthopedics & Sports Medicine, LLC practice?

The practice location is 12 Bokum RD, Essex, CT 06426-1500. The office can be reached at 860-767-9053 (phone) or 860-767-1146 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861425597 directly on the NPPES registry website.

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