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Active NPI 1518939321 Individual Practitioner Male Practitioner

Dr. Michael Bourque , MD

Surgery - Pediatric Surgery • Hartford, CT

Professional Overview & Biography Verified Profile Summary

Dr. Michael Bourque, MD is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Hartford, CT. Practice services are available at 282 WASHINGTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

282 Washington St

Hartford, CT 061063322

Telephone 8605459520
Fax 8605459545
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Hartford, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Hartford, CT (16 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License CT 029964

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery

NUCC Taxonomy Code: 208600000X

State License CT 029964

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
001299644 (CT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Evan Fusaro , PA-C

Physician Assistant

NPI 1023638848

Physician Assistant (Certified)

Dr. Christine Finck , MD

Surgery - Pediatric Surgery

NPI 1144278896

Doctor of Medicine (M.D.)

Samantha Pelow , APRN

Nurse Practitioner

NPI 1215200654

Advanced Practice Registered Nurse

Allison Schilling , NP

Nurse Practitioner - Pediatrics

NPI 1245777614

Nurse Practitioner

Samantha Hajjar , APRN

Nurse Anesthetist, Certified Registered

NPI 1265009682

Advanced Practice Registered Nurse

Sherry Blair , APRN

Nurse Practitioner - Pediatrics

NPI 1295709798

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 04, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2013

Registered at 282 WASHINGTON ST, HARTFORD, CT 061063322 (Tel: 8605459520)

📍
Updated Business Mailing Address November 04, 2013

Registered at 282 WASHINGTON ST, HARTFORD, CT 061063322 (Tel: 8605459520)

👤
Provider Name / Credentials Updated November 04, 2013

Recorded as MICHAEL BOURQUE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2013

Surgery (License #029964 in CT)

🟢
Initial NPI Registration & Enumeration February 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518939321
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2006
Last Update: November 04, 2013
Sole Proprietor: No

Mailing Address

282 Washington St

Hartford, CT 061063322

Phone: 8605459520

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.