Healthcare Provider Details

I. General information

NPI: 1710017439
Provider Name (Legal Business Name): ORTHOPEDIC SURGICAL PARTNERS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 CROMWELL AVE STE 404 BLDG 4
ROCKY HILL CT
06067-3455
US

IV. Provider business mailing address

1111 CROMWELL AVE STE 403
ROCKY HILL CT
06067-3454
US

V. Phone/Fax

Practice location:
  • Phone: 860-525-4469
  • Fax: 860-278-8032
Mailing address:
  • Phone: 860-525-4469
  • Fax: 860-278-8032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: ROBERT W MCALLISTER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 860-525-4469