{"npi":"1164039152","type":"NPI-2","status":"active","name":{"display":"Advantage Surgical And Wound Care Massachusetts PC","other":[],"organization_name":"ADVANTAGE SURGICAL AND WOUND CARE MASSACHUSETTS PC","authorised_official":"John Griffin"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"207PE0005X","description":"Undersea and Hyperbaric Medicine (Emergency Medicine) Physician","primary":false,"state":null,"license":null},{"code":"208600000X","description":"Surgery","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"204 PROCTOR AVE","city":"REVERE","state":"MA","postal_code":"021514923","country_code":"US","phone":"8778783289","fax":"8778173227"},{"purpose":"MAILING","street_1":"222 N PACIFIC COAST HWY STE 2175","city":"EL SEGUNDO","state":"CA","postal_code":"902455639","country_code":"US","phone":"8778783289","fax":"8778173227"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20201222000231","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MA","pac_id":"0840602579"}]},"enumeration_date":"2020-09-24","last_updated":"2020-09-24","_meta":{"source":"NPPES","snapshot_date":"2020-09-24","doc_url":"https://findmynpi.com/api"}}