Organization Active NPI

Mill City Surgical Associates LLC

  • Surgery Physician
  • Haverhill, MA
National Provider Identifier
1780863456
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
208279 Issued in MA
Legal business name
MILL CITY SURGICAL ASSOCIATES LLC
Practice address
62 Brown St
Suite 405
Haverhill, MA 01830-6778
Phone
(978) 420-1050
Fax
(978) 420-1063
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Kathryn A Hughes, MDNPI 1225017296
Title
President
Phone
(978) 420-1050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 208279 MA Primary

Addresses

Primary practice location

62 Brown St
Suite 405
Haverhill, MA 01830-6778

Mailing address

62 Brown St
Suite 405
Haverhill, MA 01830-6778
Phone (978) 420-1050

Other identifiers 1

IdentifierTypeStateIssuer
0119121MedicaidMA

National Provider Directory

National Provider Directory

Locations

140 Lincoln Ave
Rm 207
Haverhill, MA 01830
Phone (978) 420-1050

10 Research Pl
Ste 200
North Chelmsford, MA 01863
Phone (978) 323-7085

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1780863456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BROWN ST",
            "address_2": "SUITE 405",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306778",
            "telephone_number": "978-420-1050",
            "fax_number": "978-420-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 BROWN ST",
            "address_2": "SUITE 405",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306778",
            "telephone_number": "978-420-1050",
            "fax_number": "978-420-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL CITY SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-420-1050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MA",
            "license": "208279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119121",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.