Park Surgical Associates Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PARK SURGICAL ASSOCIATES INC

Practice address

1 Pearl Street
Ste 2700
Brockton, MA 02301-2870

Phone

(508) 584-4104

Fax

(508) 584-4105

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Christopher J Corey, MD

Title

President Physician

Phone

(508) 584-4104

Specialties & licenses 2

Addresses

Other identifiers 6

Practitioners 1

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

• Robert M Becher, M.D.

  • Surgery Physician
  • Brockton, MA
  • NPI 1235108085
  NPD

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1295798122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PEARL STREET",
            "address_2": "STE 2700",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012870",
            "telephone_number": "508-584-4104",
            "fax_number": "508-584-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PEARL STREET",
            "address_2": "STE 2700",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012870",
            "telephone_number": "508-584-4104",
            "fax_number": "508-584-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SURGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "COREY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "508-584-4104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0007011",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DB2012",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS",
            "identifier": "600325",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9704043",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "600325",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "97320",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Parente, R.N.
• Gautam B Parikh, MD
• Nakisha Parillon, LICSW, LADC-1
• Sandra Parisien
• Park Dermatology Assoc PC
• Hadwin Park, DPT
• Mackenzie Park
• Marilyn Park
• Danielle Parker
• James Albert Parker Sr.

• Surgery Physician in Brockton, MA
• Providers in Brockton, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.