UNIVERSITY SURGICAL ASSOCIATES, INC.
Complete NPI Record 1376589895
Surgery in Providence, RI
Active since June 22, 2006CLIA 41D2163991 · Waiver
Complete NPI Dataset
This page contains the complete raw NPPES record for University Surgical Associates, Inc. (NPI 1376589895), a surgery organization in Providence, RI. All 34 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1376589895 Field 1/34
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/34
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/34
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: UNIVERSITY SURGICAL ASSOCIATES, INC. Field 4/34
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: Not available Field 5/34
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 6 Field 6/34
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: PO BOX 16149 Field 7/34
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: RUMFORD Field 8/34
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: RI Field 9/34
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 029160697 Field 10/34
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/34
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 4014539625 Field 12/34
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 4014357069 Field 13/34
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 2 DUDLEY ST STE 470 Field 14/34
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: PROVIDENCE Field 15/34
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: RI Field 16/34
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 029053248 Field 17/34
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 18/34
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 4012721800 Field 19/34
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 4017515124 Field 20/34
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: GORDON Field 23/34
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: DONNA Field 24/34
- The first name of the authorized official.
- Authorized Official Title or Position: SENIOR DIRECTOR, REVENUE CYCLE Field 25/34
- The title or position of the authorized official.
- Authorized Official Telephone Number: 4014434983 Field 26/34
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 208600000X Field 27/34
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 28/34
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: RI04030 Field 29/34
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 05 Field 30/34
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: RI Field 31/34
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Is Organization Subpart: N Field 32/34
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 33/34
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Other Organization Names 1
Additional business and trade names this provider has on file with the NPPES registry.
Brown Surgical Associates Doing Business As
Name 1/1Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Secondary Practice Locations 13
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1407 S County Trl Ste 423
Location 1/13East Greenwich, RI 02818-1761 · Phone (401) 228-0590 · Fax (401) 471-7301
593 Eddy St, APC 4
Location 2/13Providence, RI 02903 · Phone (401) 272-1800 · Fax (401) 751-5124
562 Washington St
Location 3/13South Attleboro, MA 02703-6942 · Phone (401) 272-1800 · Fax (401) 751-5124
19 Friendship St Unit 240
Location 4/13Newport, RI 02840-2200 · Phone (401) 619-3930 · Fax (401) 619-3932
738 Washington St
Location 5/13Attleboro, MA 02703-6948 · Phone (401) 272-1800 · Fax (401) 751-5124
164 Summit Ave # C70
Location 6/13Providence, RI 02906-2853 · Phone (401) 793-4545 · Fax (401) 793-7866
208 Collyer St Ste 301A
Location 7/13Providence, RI 02904-1560 · Phone (401) 725-4888 · Fax (401) 725-3336
900 Douglas Pike Ste B1
Location 8/13Smithfield, RI 02917-1842 · Phone (401) 272-1800 · Fax (401) 751-5124
2 Dudley St Ste 370
Location 9/13Providence, RI 02905-3248 · Phone (401) 272-1800 · Fax (401) 751-5124
639 Metacom Ave
Location 10/13Warren, RI 02885-2348 · Phone (401) 272-1800 · Fax (401) 751-5124
1524 Atwood Ave
Location 11/13Johnston, RI 02919-3248 · Phone (401) 272-1800 · Fax (401) 751-5124
2 Dudley St Ste 190
Location 12/13Providence, RI 02905-3248 · Phone (401) 272-1800 · Fax (401) 751-5124
195 Collyer St Ste 302
Location 13/13Providence, RI 02904-1869 · Phone (401) 793-3236
Other Provider Identifiers 1
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
RI04030 Medicaid
Identifier 1/1State: RI
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
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