NPIMap

Organization Active NPI

TVCG Ste PLLC

  • Vascular Surgery Physician
  • Lowell, MA
National Provider Identifier
1215661780
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
TVCG STE PLLC
Practice address
1115 Westford St
Lowell, MA 01851-2853
Phone
(351) 221-7080
NPI assigned
Jul 12, 2022
Last updated
Apr 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Daniel Gorin, MDNPI 1457328304
Title
Owner
Phone
(508) 775-1984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X NU
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

1115 Westford St
Lowell, MA 01851-2853

Mailing address

981 Worcester St Ste 2a
Wellesley, MA 02482-3716
Phone (781) 304-8838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240729003185 MA Part B Supplier - Clinic/Group Practice 2062958846 Receives reassigned benefits from 7 practitioners
Practice locations: Lowell, MA

National Provider Directory

National Provider Directory

Locations

1115 Westford St
Lowell, MA 01851
Phone (351) 221-7080

1115 Westford St
Ste 2
Lowell, MA 01851
Phone (351) 221-7080

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1215661780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 WORCESTER ST STE 2A",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024823716",
            "telephone_number": "781-304-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WESTFORD ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018512853",
            "telephone_number": "351-221-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TVCG STE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "GORIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-775-1984",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.