Beverly Surgical Associates Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BEVERLY SURGICAL ASSOCIATES INC

Practice address

75 Herrick St
Suite 201
Beverly, MA 01915

Phone

(978) 927-4004

Fax

(978) 922-6640

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

George P Kacoyanis, MD

Title

President

Phone

(978) 927-4004

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Thomas W Johnson, MD

  • Surgery Physician
  • Southbridge, MA
  • NPI 1659476182
  NPD
• Nancy Lee Cantelmo, MD

  • Vascular Surgery Physician
  • Boston, MA
  • NPI 1922097260
  NPD (past)
• Susan Veronica Karol, MD

  • Surgery Physician
  • Beverly, MA
  • NPI 1770513533
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1689767758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HERRICK ST",
            "address_2": "SUITE 201",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-927-4004",
            "fax_number": "978-922-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HERRICK ST",
            "address_2": "SUITE 201",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-927-4004",
            "fax_number": "978-922-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY SURGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "KACOYANIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-927-4004",
        "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
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9700609",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Podiatry Inc.
• Beverly Podiatry, Inc
• Beverly Radiology Associates, Inc.
• Beverly School for the Deaf
• Beverly Shafer, MD, PC
• Matthew Bevilacqua
• Polly Beyer, LICSW
• Beyond Transportation LLC
• Hiren Bhattacharya
• Kimberly Bianco, RNFA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.