Individual provider · Type 1 NPI

Jared C. Walsh, PA-C

Surgical Physician Assistant · Hartford, CT

NPI number 1790339166 Active

Practice location

80 Seymour Street, Cvo Provider Enrollment
Hartford, CT 06102-8000

Call (860) 545-5000 Map

Mailing address

80 Seymour St
Hartford, CT 06102-8000

Other practice locations

  • 2500 Rocky Mountain Ave Ste 360, Loveland, CO 80538-9004 · (970) 221-1000
  • 6 Great Meadows Ln, Lincoln, RI 02865-3823 · (401) 474-2963

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA.0009510 (CO)
Surgical Physician Assistant Primary 363AS0400X4660 (CT)
Physician Assistant 363A00000XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1790339166

Jared C. Walsh, PA-C's National Provider Identifier is 1790339166, issued on Jul 24, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on Jan 30, 2026.