Jack Surgenor
Registered Dietitian · Durham, CT
Jack Surgenor is a registered dietitian with a practice address in Durham, Connecticut, and NPI 1093677650, issued on Dec 2, 2025. Check the license (Connecticut 3048, as entered in NPPES) with the Connecticut board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jack Surgenor
- Primary taxonomy
- Registered Dietitian 133V00000X
- License number
- 3048 CT
Self-reported in NPPES; status is on the state search - Practice location
- 20 Laurel Trl, Durham, CT 06422
- Phone
- (203) 464-9095
- Enumerated
- Dec 2, 2025
- Record last updated
- Dec 2, 2025
- Entity
- Type 1 · individual
Verify Jack Surgenor in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Connecticut board licenses this profession
Search for license 3048Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3 registered dietitian records list a practice address in Durham
They are 3 of the 59 NPPES records with a practice address in Durham, and 824 registered dietitian records in Connecticut. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 3 in Durham → All 824 in Connecticut → Every provider in Durham →
Other registered dietitian records in Connecticut
- Kirsten AckermanNew Haven, CT1396298485
- Emily AcriNew Haven, CT1962245639
- Natalie Adamson, RD,CD-NTorrington, CT1942585054
- Merril Adelman, R.D.Norwalk, CT1801125471
- Maja Aganovic, RD, LDNNew Haven, CT1356142418
- Susan Agnes, RDEast Granby, CT1518225051
- Whitney Ahneman, M.S. R.D.Stamford, CT1861785545
- Eekra Ahsan, RDGlastonbury, CT1780451229
- Nora Ainsworth, MS, RDN, CDNSouthington, CT1851891634
- Rachel Aiudi, DCN, RDNNew Haven, CT1164303889
Common questions
What is Jack Surgenor's NPI number?
Jack Surgenor's National Provider Identifier (NPI) is 1093677650, issued on Dec 2, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Jack Surgenor located?
The NPPES record lists a practice address at 20 Laurel Trl, Durham, CT, 06422. Phone: (203) 464-9095. Providers update this record themselves, so call before visiting.
How can I verify Jack Surgenor's license?
NPPES lists Connecticut license number 3048, as entered by the provider. Search the Connecticut board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.