Cape Cod ASC LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Sandwich, MA
NPI 1194718312 · NPPES record last updated Apr 29, 2010
Key facts
- NPI
- 1194718312
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- CAPE COD ASC LLC
- Practice address
- 280 Heritage Park
Sandwich, MA 02563 - Phone
- (508) 833-6050
- Fax
- (508) 833-6029
- NPI assigned
- Aug 23, 2005
- Organization subpart
- No
Authorized official
- Name
- Lisa J Brun
- Title
- Administrator
- Phone
- (508) 833-6050
Practitioners 2
-
Carlos A Fonts, MD
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Cape Cod ASC LLC
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100429000861 | MA | Part B Supplier - Ambulatory Surgical Center | 3678600293 | Practice locations: Sandwich, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
280 Heritage Park
Sandwich, MA 02563
Mailing address
PO Box 820
280 Heritage Park
Sandwich, MA 02563-0820
Phone (508) 833-6050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5453231 | Other | CCN | |
| 6800018 | Other | UNITED HEALTHCARE | |
| 505370 | Other | CIGNA | |
| M77019 | Other | MA | BCBS |
| 1999325 | Other | FIRST HEALTH | |
| 806016 | Other | MA | TUFTS |
| 2160646 | Other | AETNA | |
| 903441 | Other | HARVARD PILGRIM |
Other providers in Sandwich, MA
- Janis J Byers
- David M Callahan
- Mary B Callahan
- Calmart 1
- Cape Cod ABA
- Cape Cod Eye Surgery & Laser Center, LLC
- Cape Cod Healthcare
- Cape Cod Neuropsychology, LLC
- Cape Cod Orthopedics and Sports Medicine PC
- Cape Cod Orthopedics and Sports Medicine PC
All providers in Sandwich, MA · Ambulatory Surgical Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.