Active NPI
Edward M Kwasnik, MD
- Surgery Physician
- South Weymouth, MA
National Provider Identifier
1215994538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 43431
- Practice address
- South Shore Hospital
Brigham and Womens Surgical Associates
South Weymouth, MA 02190 - Phone
- (781) 340-4242
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 43431 | MA | Primary |
Addresses
Primary practice location
South Shore Hospital
Brigham and Womens Surgical Associates
South Weymouth, MA 02190
Mailing address
111 Cypress St
Brigham and Womens Physicians Organization
Brookline, MA 02445
Phone (857) 307-0896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waterbury Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1184615114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1215994538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CYPRESS ST",
"address_2": "BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02445",
"telephone_number": "857-307-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOUTH SHORE HOSPITAL",
"address_2": "BRIGHAM AND WOMENS SURGICAL ASSOCIATES",
"city": "SOUTH WEYMOUTH",
"state": "MA",
"postal_code": "02190",
"telephone_number": "781-340-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWASNIK",
"first_name": "EDWARD",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "43431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.