NPIMap

Organization Active NPI

St Annes Surgical

  • Surgery Physician
  • Fall River, MA
National Provider Identifier
1780990689
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
59874 Issued in MA
Legal business name
ST ANNES SURGICAL
Practice address
901 S Main St
Suite 105
Fall River, MA 02724-2943
Phone
(508) 679-1313
NPI assigned
Aug 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Mr. John J Haskell
Title
Billing Agent
Phone
(401) 624-9030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 59874 MA Primary

Addresses

Primary practice location

901 S Main St
Suite 105
Fall River, MA 02724-2943

Mailing address

PO Box 291
Tiverton, RI 02878-0291
Phone (401) 624-9030

National Provider Directory

National Provider Directory
Tax ID family
Seton Pediatric Associa6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

901 S Main St
Ste 105
Fall River, MA 02724
Phone (508) 679-1313

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1780990689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028780291",
            "telephone_number": "401-624-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S MAIN ST",
            "address_2": "SUITE 105",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027242943",
            "telephone_number": "508-679-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANNES SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "HASKELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "401-624-9030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MA",
            "license": "59874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.