Precision Surgical Specialists of Lowell PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

219267 Issued in MA

Legal business name

PRECISION SURGICAL SPECIALISTS OF LOWELL PC

Practice address

21 Village Square
Chelmsford, MA 01824

Phone

(978) 995-3292

Fax

(978) 677-7339

NPI assigned

Nov 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Roy R Shen, MDNPI 1407831563

Title

President

Phone

(978) 995-3292

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Precision Surgical Specialists of Lowell PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Precision Surgical Specialists of Lowell PC

  • Surgery Physician
  • Chelmsford, MA
  • NPI 1932932274
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/248c4eac-ef54-410c-af1d-d3a135ccb339/

Practitioners 4

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

• Roy R Shen, M.D.

  • Surgery Physician
  • Chelmsford, MA
  • NPI 1407831563
  Medicare reassignment Care Compare group NPD Authorized official
• David W Lin, M.D.

  • Colon & Rectal Surgery Physician
  • Chelmsford, MA
  • NPI 1427262906
  Medicare reassignment Care Compare group NPD
• Caitlin Polistena, MD

  • Surgery Physician
  • Chelmsford, MA
  • NPI 1508284084
  Medicare reassignment Care Compare group NPD
• Michelle Florence Nessen, MD

  • Surgery Physician
  • Bronx, NY
  • NPI 1780189415

  MA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1669846259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 VILLAGE SQUARE",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "01824",
            "telephone_number": "978-995-3292",
            "fax_number": "978-677-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 VILLAGE SQUARE",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "01824",
            "telephone_number": "978-995-3292",
            "fax_number": "978-677-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SURGICAL SPECIALISTS OF LOWELL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-995-3292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MA",
            "license": "219267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Catherine Politano
• Vanessa Poma, BCBA
• Stephen Joseph Poor III, MD
• Holly Powderly, NP
• Judith D Powsner, LICSW, LADC
• Precision Surgical Specialists of Lowell PC
• Premier Services at Home LLC
• Prime Foot and Ankle Care, LLC
• Rafael A Pupo, M.D.
• Pure Cosmetic Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.