Active NPI
McGillicuddy & Sungarian, M.D'S, LLP
- Neurological Surgery Physician
- Worcester, MA
National Provider Identifier
1013973973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- MCGILLICUDDY & SUNGARIAN, M.D'S, LLP
- Practice address
- 10 Winthrop St
Worcester, MA 01604-4467 - Phone
- (508) 752-6381
- Fax
- (508) 795-0407
- NPI assigned
- Apr 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerald T McGillicuddy, M.D.
- Title
- Owner
- Phone
- (508) 752-6381
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
10 Winthrop St
Worcester, MA 01604-4467
Mailing address
10 Winthrop St
Worcester, MA 01604-4467
Phone (508) 752-6381
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I00895 | Other | MA | NET HI |
| 9731041 | Medicaid | MA | |
| 691587 | Other | MA | TUFTS HEALTH PLAN |
| 90509 | Other | MA | FALLON HEALTH CARE |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/1204/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352937600000",
"number": "1013973973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WINTHROP ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044467",
"telephone_number": "508-752-6381",
"fax_number": "508-795-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WINTHROP ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044467",
"telephone_number": "508-752-6381",
"fax_number": "508-795-0407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCGILLICUDDY & SUNGARIAN, M.D'S, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-20",
"last_updated": "2012-11-15",
"status": "A",
"authorized_official_last_name": "MCGILLICUDDY",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-752-6381",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NET HI",
"identifier": "I00895",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9731041",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "691587",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON HEALTH CARE",
"identifier": "90509",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.