Mount Grace Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOUNT GRACE FAMILY MEDICINE LLC

Practice address

119 New Athol Rd
Orange, MA 01364-9603

Phone

(978) 249-3700

NPI assigned

Nov 8, 2013

Last updated

Jul 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ekaterina Brodski-Quigley, M.D.

Title

Physician

Phone

(978) 249-3700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1013346188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WHEELER RD",
            "city": "WARWICK",
            "state": "MA",
            "postal_code": "013789345",
            "telephone_number": "617-835-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NEW ATHOL RD",
            "city": "ORANGE",
            "state": "MA",
            "postal_code": "013649603",
            "telephone_number": "978-249-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT GRACE FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "BRODSKI-QUIGLEY",
        "authorized_official_first_name": "EKATERINA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "978-249-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Orange, MA
• Providers in Orange, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.