Active NPI
Middlesex Surgical Assoc.,Inc
- Military Health Care Provider
- Winchester, MA
National Provider Identifier
1154394542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 59337
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009293 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI 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.