Surgical Associates of Springfield Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

27725 Issued in MA

Legal business name

SURGICAL ASSOCIATES OF SPRINGFIELD INC

Practice address

7 Glendale View Dr
Hampden, MA 01036

Phone

(413) 566-5343

Fax

(413) 566-5375

NPI assigned

Jan 30, 2008

Last updated

Jan 30, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ahmad F Mouchantat, MD

Title

President

Phone

(413) 566-5343

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1043497118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GLENDALE VIEW DR",
            "city": "HAMPDEN",
            "state": "MA",
            "postal_code": "01036",
            "telephone_number": "413-566-5343",
            "fax_number": "413-566-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GLENDALE VIEW DR",
            "city": "HAMPDEN",
            "state": "MA",
            "postal_code": "01036",
            "telephone_number": "413-566-5343",
            "fax_number": "413-566-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF SPRINGFIELD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "MOUCHANTAT",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-566-5343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "27725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9700412",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Hampden, MA
• Providers in Hampden, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.