Organization Active NPI

Lowell Surgical Associates, P.C.

  • Surgery Physician
  • North Chelmsford, MA
National Provider Identifier
1942285929
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LOWELL SURGICAL ASSOCIATES, P.C.
Practice address
20 Research PL
Suite 100
North Chelmsford, MA 01863-2454
Phone
(978) 452-5050
Fax
(978) 323-0110
NPI assigned
Dec 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Michael E Jiser, M.D.
Title
President
Phone
(978) 452-5050

Specialties & licenses 1

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

Addresses

Primary practice location

20 Research PL
Suite 100
North Chelmsford, MA 01863-2454

Mailing address

20 Research PL
Suite 100
North Chelmsford, MA 01863-2454
Phone (978) 452-5050

Other identifiers 3

IdentifierTypeStateIssuer
9785981MedicaidMA
681954OtherMATUFTS GROUP NUMBER
M17225OtherMABC/BS GROUP NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1942285929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL",
            "address_2": "SUITE 100",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632454",
            "telephone_number": "978-452-5050",
            "fax_number": "978-323-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL",
            "address_2": "SUITE 100",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632454",
            "telephone_number": "978-452-5050",
            "fax_number": "978-323-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWELL SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "JISER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-452-5050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9785981",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP NUMBER",
            "identifier": "681954",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP NUMBER",
            "identifier": "M17225",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.