NPIMap

Organization Active NPI

Neponset Valley Surgical PC

  • Surgery Physician
  • Canton, MA
National Provider Identifier
1760417893
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
76851 Issued in MA
Legal business name
NEPONSET VALLEY SURGICAL PC
Practice address
800 Washington Street
Canton, MA 02021-2562
Phone
(781) 828-4030
Fax
(781) 828-7730
NPI assigned
Jul 11, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. William Mark Nannery, MDNPI 1174558209
Title
Physician President
Phone
(781) 828-4030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 76851 MA Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X 76851 MA

Addresses

Primary practice location

800 Washington Street
Canton, MA 02021-2562

Mailing address

800 Washington Street
Canton, MA 02021-2562
Phone (781) 828-4030

National Provider Directory

National Provider Directory

Locations

490 Chapman St
Canton, MA 02021
Phone (781) 828-4030

Practitioners & affiliated clinicians

Practitioners 1

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760417893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON STREET",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212562",
            "telephone_number": "781-828-4030",
            "fax_number": "781-828-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON STREET",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212562",
            "telephone_number": "781-828-4030",
            "fax_number": "781-828-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPONSET VALLEY SURGICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NANNERY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "781-828-4030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MA",
            "license": "76851",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "76851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.