Eastern Massachusetts Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EASTERN MASSACHUSETTS SURGERY CENTER LLC

Practice address

100 Morse Street
Norwood, MA 02062-4679

Phone

(781) 255-0362

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jeffrey Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eastern Massachusetts Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Listed as

Eastern Massachusetts Surgery Center LLCCCN 22C0001070

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clifford D Gluck, M.D.

  • Urology Physician
  • Dorchester Center, MA
  • NPI 1851393342
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1245436823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD # L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-240-3820",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MORSE STREET",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624679",
            "telephone_number": "781-255-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MASSACHUSETTS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00479458",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Massachusetts Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eastern Massachusetts Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Lindsey Duchaine Savage, CPS
• Maura Kathleen Dudley, AU.D.
• Michele Dugue
• Kyle Duke
• Elizabeth Yates Dunn, RN, NP
• Eastway Wellness LLC
• Eastway Wellness LLC
• Eastway Wellness LLC
• Sabryna Eastwood, LCSW
• Thomas A Eaton, PH.D.

• Ambulatory Surgical Clinic/Center in Norwood, MA
• Providers in Norwood, MA by specialty
• Ambulatory Surgical Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.