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MIDDLESEX ORTHOPEDIC SURGEONS PROF CORP
NPI 1073867818
Specialist in Middletown, CT

Active since November 01, 2012CLIA 07D2007432 · Waiver
410 SAYBROOK RD, SUITE 100, MIDDLETOWN, CT 06457(860) 685-8940 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Middlesex Orthopedic Surgeons Prof Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDDLESEX ORTHOPEDIC SURGEONS PROF CORP (NPI 1073867818) is a healthcare organization registered as a specialist in Middletown, Connecticut and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Sean J O'donnell, President, as its authorized official.

NPPES Registry Identity

NPI1073867818
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMIDDLESEX ORTHOPEDIC SURGEONS PROF CORP
Location Address410 SAYBROOK RD, SUITE 100Middletown, CT 06457-4777
Mailing Address4 Grove Beach Rd N, Building 2 Suite E And FWestbrook, CT 06498-1656 · (860) 669-4174
Phone(860) 685-8940
Organization SubpartNo
Authorized OfficialSean J O'donnellPresident · (860) 685-8940
Enumeration DateNovember 1, 2012
✔ NPI 1073867818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CT · 034830
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

410 SAYBROOK RD, Middletown, CT 06457
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2007432

Middlesex Orthopedic Surgeons/Ons · Middletown, CT
Active · expires Dec 15, 2026
CLIA Number07D2007432
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorJeffrey Bash
Laboratory Phone(860) 685-8940
Laboratory LocationMiddlesex Orthopedic Surgeons/Ons430 Saybrook Rd, Middletown, CT 06457
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH M. SOHN M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
410 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 685-8951
ANTONIOS D SAPOUNAS MD
Internal Medicine (Gastroenterology)
410 SAYBROOK RD, SUITE 201
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-4620
JENNIFER BROOKS KUBRYNSKI PT
Physical Therapist
410 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 638-3820
DR. PETER J MCKEEVER DDS
Dentist (General Practice)
410 SAYBROOK RD, SUITE 202
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-3261
MIDDLESEX ENDOSCOPY CENTER LLC
Clinic/Center (Ambulatory Surgical)
410 SAYBROOK RD, SUITE 200
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 343-1240
ROBYN L STELMAK PT
Physical Therapist (Orthopedic)
410 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 638-3820
MIDDLESEX ORTHOPEDIC SURGEONS PC
Orthopaedic Surgery
410 SAYBROOK RD, STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 685-8940
JEFFREY A BASH MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
410 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 685-8940

Frequently Asked Questions

What is MIDDLESEX ORTHOPEDIC SURGEONS PROF CORP's NPI number?

The NPI number assigned to this healthcare provider is 1073867818, enumerated as an "organization" on November 01, 2012.

Where is the provider located?

The provider is located at 410 SAYBROOK RD SUITE 100 MIDDLETOWN, CT 06457 and the phone number is (860) 685-8940.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.