Special Company LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

PENDING Issued in MA

Legal business name

SPECIAL COMPANY LLC

Doing business as

Bayside Surgery Center

Practice address

39 Edgerton Dr
N Falmouth, MA 02556-2821

Phone

(508) 274-6901

Fax

(508) 540-3158

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Garry Brake, M.D.

Title

President

Phone

(508) 540-9771

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Bayside Surgery Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick J Flynn, MD

  • Surgery Physician
  • Falmouth, MA
  • NPI 1184798431
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1154386951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 EDGERTON DR",
            "city": "N FALMOUTH",
            "state": "MA",
            "postal_code": "025562821",
            "telephone_number": "508-274-6901",
            "fax_number": "508-540-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 EDGERTON DR",
            "city": "N FALMOUTH",
            "state": "MA",
            "postal_code": "025562821",
            "telephone_number": "508-274-6901",
            "fax_number": "508-540-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "BRAKE",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-540-9771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851179",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MASSACHUSETTS",
            "identifier": "M77024",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00382095",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eileen Frazier, LICSW
• Tamara Nixon, LMHC
• Pauli E Pendleton, N.P.
• Robert R Moore MD PHD PC
• Karen Smith Rohrberg, MSN FNP
• Audrey J Tobin, NP

• Ambulatory Surgical Clinic/Center in N Falmouth, MA
• Providers in N Falmouth, MA by specialty
• Ambulatory Surgical Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.