NPIMap

Organization Active NPI

Northampton Surgical Associates,Inc

  • Surgery Physician
  • Northampton, MA
National Provider Identifier
1104982677
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NORTHAMPTON SURGICAL ASSOCIATES,INC
Practice address
264 Elm St Ste 8
Northampton, MA 01060-2857
Phone
(413) 586-3232
Fax
(413) 582-7092
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Phyllis Keefe
Title
Practice Manager
Phone
(413) 586-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

264 Elm St Ste 8
Northampton, MA 01060-2857

Mailing address

264 Elm St Ste 8
Northampton, MA 01060-2857
Phone (413) 586-3232

Other identifiers 1

IdentifierTypeStateIssuer
ZK5715OtherMABLUE CROSS BLUE SHIELD OF

National Provider Directory

National Provider Directory

Locations

264 Elm St
Ste 8
Northampton, MA 01060
Phone (413) 586-3232

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104982677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 ELM ST STE 8",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602857",
            "telephone_number": "413-586-3232",
            "fax_number": "413-582-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 ELM ST STE 8",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602857",
            "telephone_number": "413-586-3232",
            "fax_number": "413-582-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHAMPTON SURGICAL ASSOCIATES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEEFE",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "413-586-3232"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "ZK5715",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.