SOUTHEASTERN SURGICAL ASSOCIATES LLC NPI 1194216762

NPI Information

  • NPI: 1194216762
  • Provider Name: SOUTHEASTERN SURGICAL ASSOCIATES LLC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • CLIA Number: 22D0080998
  • Address: 100 CAMP ST
    HYANNIS, MA
    ZIP 02601
  • Phone: (508) 775-1984

Map and Directions

Get Directions

NPI Details

SOUTHEASTERN SURGICAL ASSOCIATES LLC is a surgery in Hyannis, MA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SOUTHEASTERN SURGICAL ASSOCIATES LLC NPI is 1194216762. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 CAMP ST
HYANNIS, MA
ZIP 02601-063
Phone: (508) 775-1984
Fax: (508) 790-1897

The provider's authorized official is Riitta A Chabra .
The authorized official title is Business Manager and has the following contact phone number (508) 775-1984.

The CLIA number assigned to this NPI record is 22D0080998 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2018 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.