Active NPIIndividual provider

Nicholas D Gottshall, PA-C

Physician Assistant, Surgical in Cambridge, Massachusetts

NPI Number1043833221
Practice location
330 Mount Auburn St # Surgery, Cambridge, MA 02138-5597
Fax
—
Last updated
February 21, 2025

Nicholas D Gottshall is a Physician Assistant, Surgical based in Cambridge, MA. Nicholas D Gottshall practices in Cambridge, MA and has the professional credentials of PA-C. The NPI Number for Nicholas D Gottshall is 1043833221 and holds a License No. PA7521 (MA). The current practice location address for Nicholas D Gottshall is 330 Mount Auburn St # Surgery, Cambridge, MA 02138-5597 and can be reached out via phone at 617-492-3500.

Provider Profile Details

NPI Number
1043833221
Provider Name
Nicholas D Gottshall
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
330 Mount Auburn St # Surgery, Cambridge, MA 02138-5597
Phone Number
617-492-3500
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
May 22, 2020
Last Update Date
February 21, 2025
Certification Date
February 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
330 Mount Auburn St # Surgery
Cambridge, MA 02138-5597
Zip
02138-5597
Phone Number
617-492-3500
Cambridge, MA 02138Get directions →

Provider Business Mailing Address Details

Address
330 Mt Auburn St
Parsons 2
Cambridge, MA 02138-5597
City
Cambridge
State
MA
Zip
02138-5597
Phone Number
617-499-3500

License Information

License Number (1)
PA7521
License State (1)
MA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA7521
License State (2)
MA
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicholas D Gottshall, PA-C?

The NPI number of Nicholas D Gottshall, PA-C is 1043833221. It was assigned on May 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Nicholas D Gottshall, PA-C?

Nicholas D Gottshall, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in MA under license number PA7521.

Where does Nicholas D Gottshall, PA-C practice?

The practice location is 330 Mount Auburn St # Surgery, Cambridge, MA 02138-5597. The office can be reached at 617-492-3500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043833221 directly on the NPPES registry website.

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