Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Connecticut Surgical Group, PC

Durable Medical Equipment & Medical Supplies in Glastonbury, CT · enumerated 2005 · authorized official Douglas Mckell, Chief Administrative Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164406518

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Registry record

Entity type Organization (Type 2)

Legal business name Connecticut Surgical Group, PC

Practice address 330 Western Blvd, Glastonbury, CT, 06033

Phone (860) 246-2071

Fax (860) 524-2650

Enumeration date Nov 30, 2005

Last updated in NPPES Aug 11, 2010

Taxonomy & classification

208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary

2086S0105X Surgery of the Hand (Surgery) Physician Allopathic & Osteopathic Physicians Secondary

2086S0122X Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians Secondary

2086X0206X Surgical Oncology Physician Allopathic & Osteopathic Physicians Secondary

208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary

208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians Secondary

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Secondary

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Secondary

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary

Authorized official

Name Douglas Mckell

Title Chief Administrative Officer

Phone (860) 524-4326

Other identifiers

Identifier	Type	State	Issuer
01926310	Medicaid	NY	-
004139350	Medicaid	CT	-
9781188	Medicaid	MA	-
0040201034	Medicaid	CT	-
004069711	Medicaid	CT	-
50CONNSURCT01	Other	CT	ANTHEM BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Connecticut Surgical Group, PC located?

The practice location on file with NPPES is in Glastonbury, CT.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-08-11. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-08-11.