SURGICAL ASSOCIATES OF EASTERN CONNECTICUT LLC
NPI 1902004765
Surgery in Manchester, CT

Q: What is Surgical Associates Of Eastern Connecticut LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since July 03, 2007

116 E CENTER ST, SUITE 12, MANCHESTER, CT 06040(860) 646-8888(860) 646-8885 Get Directions Write a Review

NPPES record last updated: August 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Surgical Associates Of Eastern Connecticut Llc NPPES

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

SURGICAL ASSOCIATES OF EASTERN CONNECTICUT LLC (NPI 1902004765) is a healthcare organization registered as a surgery in Manchester, Connecticut and active in the NPI registry since July 2007. The organization lists R Winfield Raynor, Owner, as its authorized official.

NPPES Registry Identity

NPI1902004765

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameSURGICAL ASSOCIATES OF EASTERN CONNECTICUT LLC

Location Address116 E CENTER ST, SUITE 12Manchester, CT 06040-5215

Mailing Address116 E Center St, Suite 12Manchester, CT 06040-5215 · (860) 646-8888 · Fax (860) 646-8885

Phone(860) 646-8888

Fax(860) 646-8885

Organization SubpartNo

Authorized OfficialR Winfield RaynorOwner · (860) 646-8888

Enumeration DateJuly 3, 2007

Last NPPES UpdateAugust 20, 2010

✔ NPI 1902004765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CT · 26317

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

116 E CENTER ST, Manchester, CT 06040

Open in Google Maps ↗

Other Identifiers 3

Medicaid001263177CT

Medicare UPINB39704CT

Medicare PINC03369CT

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

Other Providers at the Same Location NPPES 8

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

DR. DAVID JEREMY ROSENBERG M.D.

Urology

116 E CENTER ST, SUITE 19
MANCHESTER, CT 06040

Capitol Planning Region (860) 643-2731

SURGICAL SPECIALTIES OF EASTERN CT LLC

Surgery

116 E CENTER ST, SUITE 14
MANCHESTER, CT 06040

Capitol Planning Region (860) 646-8457

DR. THOMAS E STALEY MD

Urology

116 E CENTER ST, SUITE 19
MANCHESTER, CT 06040

Capitol Planning Region (860) 643-2731

DR. ANTHONY DISTEFANO MD

Urology

116 E CENTER ST, SUITE 19
MANCHESTER, CT 06040

Capitol Planning Region (860) 643-2731

DR. DONNA M. BOCCELLI D.P.M.

Podiatrist (Foot & Ankle Surgery)

116 E CENTER ST, SUITE 10
MANCHESTER, CT 06040

Capitol Planning Region (860) 647-7727

ASSOCIATED UROLOGISTS PC

Urology

116 E CENTER ST, SUITE 19
MANCHESTER, CT 06040

Capitol Planning Region (860) 643-2731

KRISTIN LUND PA-C

Physician Assistant

116 E CENTER ST, SUITE 10
MANCHESTER, CT 06040

Capitol Planning Region (860) 647-9183

DR. ARTHUR E. LAMONTAGNE JR. M.D.

Urology

116 E CENTER ST
MANCHESTER, CT 06040

Capitol Planning Region (860) 643-2731

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 Surgical Associates Of Eastern Connecticut LLC's NPI number?

The NPI number for Surgical Associates Of Eastern Connecticut LLC is 1902004765. It was assigned to this organization in the NPPES registry on July 3, 2007.

Where is Surgical Associates Of Eastern Connecticut LLC located?

Surgical Associates Of Eastern Connecticut LLC is located at 116 E Center St Suite 12, Manchester, CT 06040. The listed phone number is (860) 646-8888.

What is Surgical Associates Of Eastern Connecticut LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Surgical Associates Of Eastern Connecticut LLC was last updated on August 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.