East Sandwich Physician Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

229943 Issued in MA

Legal business name

EAST SANDWICH PHYSICIAN ASSOCIATES

Practice address

478 Route 6a
East Sandwich, MA 02537-1438

Phone

(508) 833-1212

NPI assigned

Jun 1, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sheila V Souza

Title

Billing Agency

Phone

(508) 548-8989

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1003042425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025410905",
            "telephone_number": "508-548-8989",
            "fax_number": "508-548-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 ROUTE 6A",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025371438",
            "telephone_number": "508-833-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SANDWICH PHYSICIAN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "SOUZA",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "BILLING AGENCY",
        "authorized_official_telephone_number": "508-548-8989"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "229943",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "230182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Sylvia Davin, OTR
• Kaya Deangelis
• Braely Derocher
• Maddison Brooke Dias
• Samantha Donoghue
• Susan R Ehrenthal, M.D.
• Connor Dennis Evans-Green, LCSW
• Mary Markayla Fish
• Kelly Colleen Fitzpatrick, OTR/L
• Sarah Ann Flint

• Internal Medicine Physician in East Sandwich, MA
• Providers in East Sandwich, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.