Provider Demographics
NPI:1164540373
Name:ASSOCIATES IN SURGERY, INC
Entity Type:Organization
Organization Name:ASSOCIATES IN SURGERY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALVAH
Authorized Official - Middle Name:V
Authorized Official - Last Name:HINCKLEY
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:413-584-2599
Mailing Address - Street 1:190 NONOTUCK ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1911
Mailing Address - Country:US
Mailing Address - Phone:413-584-2599
Mailing Address - Fax:413-584-9478
Practice Address - Street 1:190 NONOTUCK ST
Practice Address - Street 2:SUITE 101
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1911
Practice Address - Country:US
Practice Address - Phone:413-584-2599
Practice Address - Fax:413-584-9478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1629OtherFALLON COMMUNITY
MA719407OtherTUFTS HEALTH PLAN
MA9702687Medicaid
MAM12598OtherBLUE SHIELD
MACB5959OtherPALMETTO GBA
MA82614OtherHEALTH NEW ENGLAND
MA82614OtherHEALTH NEW ENGLAND