Tak Medical Group, P.C.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

TAK MEDICAL GROUP, P.C.

Practice address

133 Old Road to 9 Acre Cor
Concord, MA 01742-4159

Phone

(978) 466-4396

Fax

(978) 466-4029

NPI assigned

Sep 25, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Raymond D. Fredette

Title

Executive Vice President

Phone

(978) 466-4033

Specialties & licenses 2

Addresses

Tax ID family

Tak Medical Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tak Medical Group, PC

  • Family Medicine Physician
  • Fitchburg, MA
  • NPI 1700293396
  NPD tax ID

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1003242751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 NELSON STREET",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531234",
            "telephone_number": "978-466-4396",
            "fax_number": "978-466-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 OLD ROAD TO 9 ACRE COR",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424159",
            "telephone_number": "978-466-4396",
            "fax_number": "978-466-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAK MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "FREDETTE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "978-466-4033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Peabody Sweeney, MS. RD, LDN
• Aaron Joshua Swerdlow
• Switchback Counseling Services, LLC
• Gregory Stuart Symko, D.C.
• Eniana Jane Tabor, PMHNP-BC
• Tamara C Takoudes, M.D.
• Julie Talcoff, LICSW
• Talk Therapy LLC
• Sally Tan Renehan, MD, MPH
• Meghan Tanglis, NP

• Critical Care Medicine (Internal Medicine) Physician in Concord, MA
• Providers in Concord, MA by specialty
• Critical Care Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.