Provider Demographics
NPI:1366508194
Name:CAPE COD SURGEONS PC
Entity Type:Organization
Organization Name:CAPE COD SURGEONS PC
Other - Org Name:PROFESSIONAL CORPORATION
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOPEWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-540-9774
Mailing Address - Street 1:210 JONES ROAD
Mailing Address - Street 2:SUITE 2 5
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540
Mailing Address - Country:US
Mailing Address - Phone:508-540-9771
Mailing Address - Fax:508-540-3158
Practice Address - Street 1:210 JONES ROAD
Practice Address - Street 2:SUITE 2 5
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540
Practice Address - Country:US
Practice Address - Phone:508-540-9771
Practice Address - Fax:508-540-3158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA81477208600000X
MA205027208600000X
MA44062208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9767746Medicaid
MA601379OtherTUFTS
MAM15442OtherBCBS
MAM15442Medicare ID - Type Unspecified