Organization Active NPI

South Shore Surgical Specialists, Inc

  • Specialist
  • South Weymouth, MA
National Provider Identifier
1699710236
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOUTH SHORE SURGICAL SPECIALISTS, INC
Practice address
780 Main St
Suite 2a
South Weymouth, MA 02190-1622
Phone
(781) 335-4815
Fax
(781) 337-9654
NPI assigned
Jun 18, 2006
Last updated
Jul 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Tracey Wessen
Title
Billing Manager
Phone
(781) 413-2114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

780 Main St
Suite 2a
South Weymouth, MA 02190-1622

Mailing address

780 Main St
Suite 2a
South Weymouth, MA 02190-1622
Phone (781) 335-4815

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1699710236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 MAIN ST",
            "address_2": "SUITE 2A",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901622",
            "telephone_number": "781-335-4815",
            "fax_number": "781-337-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 MAIN ST",
            "address_2": "SUITE 2A",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901622",
            "telephone_number": "781-335-4815",
            "fax_number": "781-337-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE SURGICAL SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "WESSEN",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "781-413-2114"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.