Andover Surgery Center, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

4278 Issued in MA

Legal business name

ANDOVER SURGERY CENTER, LP

Practice address

138 Haverhill St
Andover, MA 01810-1509

Phone

(978) 475-2880

Fax

(978) 475-7999

NPI assigned

Sep 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jorgen Madsen

Title

Ceo

Phone

(978) 475-2880

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669577227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 HAVERHILL ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101509",
            "telephone_number": "978-475-2880",
            "fax_number": "978-475-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 HAVERHILL ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101509",
            "telephone_number": "978-475-2880",
            "fax_number": "978-475-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER SURGERY CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "JORGEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-475-2880"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MA",
            "license": "4278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1214110",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andover Podiatry PC
• Andover Psychiatric PC
• Andover Smiles
• Andover Social Development and Counseling Center
• Andover Spine Center
• Andover Surgical Associates, Inc.
• Andover Surgical Associates, LLC
• Andover Therapy Services LLC
• Paula Andrejko, PT
• Steven Jason Andriola, M.D.

• Ambulatory Surgical Clinic/Center in Andover, MA
• Providers in Andover, 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 Aug 22, 2020; 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.