NPIMap

Organization Active NPI

Andover Surgical Associates, LLC

  • Surgery Physician
  • Andover, MA
National Provider Identifier
1104116086
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ANDOVER SURGICAL ASSOCIATES, LLC
Practice address
140 Haverhill St
Andover, MA 01810-1550
Phone
(978) 475-4202
Fax
(978) 475-4393
NPI assigned
Apr 13, 2011
Last updated
Apr 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Paul J Gemis, M.D.NPI 1962434480
Title
Manager
Phone
(978) 475-4202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

140 Haverhill St
Andover, MA 01810-1550

Mailing address

140 Haverhill St
Andover, MA 01810-1550
Phone (978) 475-4202

National Provider Directory

National Provider Directory

Locations

140 Haverhill St
Andover, MA 01810
Phone (978) 470-1616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1104116086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HAVERHILL ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101550",
            "telephone_number": "978-475-4202",
            "fax_number": "978-475-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HAVERHILL ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101550",
            "telephone_number": "978-475-4202",
            "fax_number": "978-475-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "GEMIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-475-4202",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.