Provider Demographics
NPI:1750582920
Name:SURGI-CARE, INC
Entity type:Organization
Organization Name:SURGI-CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REGIONAL BILLING OPERAT
Authorized Official - Prefix:
Authorized Official - First Name:DARCY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DILIDDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-290-1807
Mailing Address - Street 1:71 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1105
Mailing Address - Country:US
Mailing Address - Phone:800-797-8744
Mailing Address - Fax:800-338-6304
Practice Address - Street 1:20 TUTTLE PL STE 5
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-1870
Practice Address - Country:US
Practice Address - Phone:800-988-5633
Practice Address - Fax:800-338-6304
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SURGI-CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-29
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT12DME0145CT01OtherBCBS
CT2250383OtherCIGNA
CT004194403Medicaid
MA0254690001Medicare ID - Type UnspecifiedMEDICARE
CT004194403Medicaid
RI0254690004Medicare NSC