Organization Active NPI

Boston Center for Ambulatory Surgery Inc

  • Plastic and Reconstructive Surgery Physician
  • Boston, MA
National Provider Identifier
1366544496
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
221000 Issued in MA
Legal business name
BOSTON CENTER FOR AMBULATORY SURGERY INC
Doing business as
The Boston Center
Practice address
170 Commonwealth Ave
Boston, MA 02116
Phone
(617) 267-0710
Fax
(617) 236-8704
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Ms. Ann Marie McGrane
Title
Administrator
Phone
(978) 535-6043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X 221000 MA Primary

Addresses

Primary practice location

170 Commonwealth Ave
Boston, MA 02116

Mailing address

170 Commonwealth Ave
Boston, MA 02116
Phone (617) 267-0710

Other identifiers 1

IdentifierTypeStateIssuer
BOM77001OtherBLUE CROSS BLUE SHIELD

Other names 1

  • The Boston Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1366544496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 COMMONWEALTH AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "617-267-0710",
            "fax_number": "617-236-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 COMMONWEALTH AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "617-267-0710",
            "fax_number": "617-236-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON CENTER FOR AMBULATORY SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "MCGRANE",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "978-535-6043",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MA",
            "license": "221000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "BOM77001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Boston Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.