Active NPI
Truesdale Surgical Associates Inc
- Surgery Physician
- Fall River, MA
National Provider Identifier
1992734677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- TRUESDALE SURGICAL ASSOCIATES INC
- Practice address
- 1030 President Ave
Suite 3002
Fall River, MA 02720 - Phone
- (508) 676-3411
- Fax
- (508) 676-0932
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerald J Monchik, MD
- Title
- President
- Phone
- (508) 676-3411
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Colon & Rectal Surgery Physician | 208C00000X |
Addresses
Primary practice location
1030 President Ave
Suite 3002
Fall River, MA 02720
Mailing address
1030 President Ave
Suite 3002
Fall River, MA 02720
Phone (508) 676-3411
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C201 | Other | HPHC | |
| 43137 | Other | RI | BS |
| 1709090 | Other | UHC | |
| S014348 | Other | TRICARE | |
| 0008822 | Other | NHP | |
| 605004 | Other | TUFTS | |
| 9754156 | Medicaid | MA | |
| TS05277 | Medicaid | RI | |
| 0124523 | Other | AETNA | |
| M14632 | Other | MASS BS | |
| CB5955 | Other | MA | RAIL ROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1030 President Ave
Ste 3002
Fall River, MA 02720
Phone (508) 676-3411
Interoperability endpoints
- https://api.platform.athenahealth.com/17096/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378166400000",
"number": "1992734677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 PRESIDENT AVE",
"address_2": "SUITE 3002",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "02720",
"telephone_number": "508-676-3411",
"fax_number": "508-676-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 PRESIDENT AVE",
"address_2": "SUITE 3002",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "02720",
"telephone_number": "508-676-3411",
"fax_number": "508-676-0932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUESDALE SURGICAL ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2013-09-03",
"status": "A",
"authorized_official_last_name": "MONCHIK",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-676-3411",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208C00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "C201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "43137",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1709090",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "S014348",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0008822",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "605004",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9754156",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TS05277",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0124523",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS BS",
"identifier": "M14632",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "CB5955",
"state": "MA"
}
],
"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 Sep 3, 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.