Provider Demographics
NPI:1285704379
Name:CAPE COD SURGICAL ASSOCIATES INC
Entity type:Organization
Organization Name:CAPE COD SURGICAL ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:WILLARD
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-775-0800
Mailing Address - Street 1:6 MAIN ST BLDG B
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-3112
Mailing Address - Country:US
Mailing Address - Phone:508-775-0800
Mailing Address - Fax:508-771-8565
Practice Address - Street 1:6 MAIN ST BLDG B
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3112
Practice Address - Country:US
Practice Address - Phone:508-775-0800
Practice Address - Fax:508-771-8565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0035105OtherCIGNA
MA9744703Medicaid
MA0042651OtherNEIGHBORHOOD HEALTH PLAN
MAA001OtherTRICARE
MACF4770OtherRAILROAD MEDICARE
MAM10627OtherGROUP BCBS
248124200OtherDEPT OF LABOR
MA706724OtherTUFTS HEALTH PLAN
MA0000029456OtherBMC
MAA514OtherHPHC
MACF4770OtherRAILROAD MEDICARE