GLASTONBURY PODIATRY GROUP
NPI 1669529954
Podiatrist in Willimantic, CT

Active since January 05, 2007
162 MANSFIELD AVE # A, WILLIMANTIC, CT 06226(860) 456-4250 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glastonbury Podiatry Group NPPES

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

GLASTONBURY PODIATRY GROUP (NPI 1669529954) is a healthcare organization registered as a podiatrist in Willimantic, Connecticut and active in the NPI registry since January 2007. The organization lists Michael James Scanlon, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1669529954
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameMICHAEL SCANLON
Location Address162 MANSFIELD AVE # AWillimantic, CT 06226-2041
Mailing Address196 Parkway S, Suite 304Waterford, CT 06385-1234 · (486) 044-2702 · Fax (860) 444-0074
Organization SubpartYes
Authorized OfficialMichael James ScanlonPhysician/owner · (860) 657-3668
Enumeration DateJanuary 5, 2007
Last NPPES UpdateNovember 15, 2007
NPI 1669529954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
162 MANSFIELD AVE # A, Willimantic, CT 06226

Other Names 1

Doing Business AsGlastonbury Podiatry Group

Other Identifiers 1

Medicare PINC02115CT

Other Providers at the Same Location NPPES

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

Durable Medical Equipment & Medical Supplies
162 MANSFIELD AVE # A
WILLIMANTIC, CT 06226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Scanlon's NPI number?

The NPI number for Michael Scanlon is 1669529954. It was assigned to this organization in the NPPES registry on January 5, 2007. The provider is doing business as Glastonbury Podiatry Group.

Where is Michael Scanlon located?

Michael Scanlon is located at 162 Mansfield Ave # A, Willimantic, CT 06226. The listed phone number is (860) 456-4250.

What is Michael Scanlon's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Michael Scanlon was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.