Active NPI
Southwestern Gastroenterological Associates, P.C.
- Gastroenterology Physician
- Norwood, MA
National Provider Identifier
1992816839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- SOUTHWESTERN GASTROENTEROLOGICAL ASSOCIATES, P.C.
- Practice address
- 886 Washington St
Norwood, MA 02062-3466 - Phone
- (781) 769-4682
- Fax
- (781) 769-9272
- NPI assigned
- Aug 31, 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
- Joseph L Perrotto Jr., MD
- Title
- President
- Phone
- (781) 769-4682
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
886 Washington St
Norwood, MA 02062-3466
Mailing address
886 Washington St
Norwood, MA 02062-3466
Phone (781) 769-4682
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M12498 | Other | MA | BC/BS |
| CE3077 | Other | MA | RAIL ROAD MEDICARE |
| 600364 | Other | MA | TUFTS HEALTH PLAN |
| 110068196A | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268956800000",
"number": "1992816839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "886 WASHINGTON ST",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020623466",
"telephone_number": "781-769-4682",
"fax_number": "781-769-9272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "886 WASHINGTON ST",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020623466",
"telephone_number": "781-769-4682",
"fax_number": "781-769-9272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWESTERN GASTROENTEROLOGICAL ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2010-03-19",
"status": "A",
"authorized_official_last_name": "PERROTTO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-769-4682",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "M12498",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "CE3077",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "600364",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110068196A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.