NPIMap

Organization Active NPI

Synergy Surgicalists LLC

  • Orthopaedic Surgery Physician
  • North Dartmouth, MA
National Provider Identifier
1114334422
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SYNERGY SURGICALISTS LLC
Practice address
300A Faunce Corner Rd
North Dartmouth, MA 02747-1280
Phone
(508) 973-2211
Fax
(508) 973-1105
NPI assigned
Jul 18, 2014
Last updated
Oct 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Richard Makowiec, MDNPI 1295708659
Title
Vice President
Phone
(773) 425-3562

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X

Addresses

Primary practice location

300A Faunce Corner Rd
North Dartmouth, MA 02747-1280

Mailing address

PO Box 843524
Dallas, TX 75284-3524

Other practice location 1

1151 Robeson St Ste 101
Fall River, MA 02720-5566
Phone (508) 973-2211

Other practice location 2

4633 Brambleton Ave
Roanoke, VA 24018-3410
Phone (540) 202-9255

Other practice location 3

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

Other practice location 4

1 Recovery Rd
Wareham, MA 02571-5011
Phone (508) 973-2211

Other names 1

  • Synergy Surgicalists, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VA, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150428000320 MA Part B Supplier - Clinic/Group Practice 0244553105 Receives reassigned benefits from 13 practitioners
Practice locations: Fall River, MA; North Dartmouth, MA; Wareham, MA
O20220513000659 VA Part B Supplier - Clinic/Group Practice 0244553105 Receives reassigned benefits from 14 practitioners
Practice locations: Salem, VA; Roanoke, VA
O20251010003888 GA Part B Supplier - Clinic/Group Practice 0244553105 Receives reassigned benefits from 10 practitioners
Practice locations: Augusta, GA

National Provider Directory

National Provider Directory

Locations

12396 World Trade Dr
Ste 303
San Diego, CA 92128
Phone (904) 614-5857

284 Highway 3048
Rayville, LA 71269
Phone (318) 388-0032

1030 President Ave
Rm 113
Fall River, MA 02720
Phone (508) 973-1600

1030 President Ave
Rm 304
Fall River, MA 02720
Phone (508) 235-6427

1151 Robeson St
Ste 101
Fall River, MA 02720

300A Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 973-2213

280 W Kagy Blvd
Ste D320
Bozeman, MT 59715

100 McGregor St
#D535
Manchester, NH 03102

87 McGregor St
Ste 3100
Manchester, NH 03102
Phone (603) 627-1887

118 E Haskell St
Ste B
Winnemucca, NV 89445
Phone (775) 625-3090

1850 Town Center Pkwy
Ste 309
Reston, VA 20190
Phone (703) 705-4180

4633 Brambleton Ave
Ste 100
Roanoke, VA 24018
Phone (540) 968-7368

Practitioners & affiliated clinicians

Practitioners 72

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.

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1114334422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843524",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752843524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300A FAUNCE CORNER RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471280",
            "telephone_number": "508-973-2211",
            "fax_number": "508-973-1105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 Robeson St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027205566",
            "country_code": "US",
            "telephone_number": "508-973-2211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4633 Brambleton Ave",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240183410",
            "country_code": "US",
            "telephone_number": "540-202-9255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Electric Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537474",
            "country_code": "US",
            "telephone_number": "540-776-4000",
            "fax_number": "804-267-4910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Recovery Rd",
            "address_purpose": "LOCATION",
            "city": "Wareham",
            "state": "MA",
            "postal_code": "025715011",
            "country_code": "US",
            "telephone_number": "508-973-2211",
            "fax_number": "508-295-9467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYNERGY SURGICALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "MAKOWIEC",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "773-425-3562",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Surgicalists, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.