Organization Active NPI

Middlesex Surgical Assoc.,Inc

  • Military Health Care Provider
  • Winchester, MA
National Provider Identifier
1154394542
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Health Care ProviderTaxonomy code 171000000X
License
59337 Issued in MA
Legal business name
MIDDLESEX SURGICAL ASSOC.,INC
Practice address
955 Main St
Suite G2A
Winchester, MA 01890-1961
Phone
(781) 729-2020
Fax
(781) 729-6846
NPI assigned
Feb 8, 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
Dr. Patrick F Brophy, MD
Title
Physician
Phone
(781) 729-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 171000000X 59337 MA Primary

Addresses

Primary practice location

955 Main St
Suite G2A
Winchester, MA 01890-1961

Mailing address

955 Main St
Suite G2A
Winchester, MA 01890-1961
Phone (781) 729-2020

Other identifiers 1

IdentifierTypeStateIssuer
2009293MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154394542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MAIN ST",
            "address_2": "SUITE G2A",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901961",
            "telephone_number": "781-729-2020",
            "fax_number": "781-729-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST",
            "address_2": "SUITE G2A",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901961",
            "telephone_number": "781-729-2020",
            "fax_number": "781-729-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX SURGICAL ASSOC.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROPHY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "781-729-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Military Health Care Provider",
            "state": "MA",
            "license": "59337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009293",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, 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.