Santos MD Dr LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

225848 Issued in MA

Legal business name

SANTOS MD DR LLC

Practice address

390 Orleans Rd
North Chatham, MA 02650-1154

Phone

(508) 945-4611

Fax

(508) 945-2245

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Marcial A Santos, M.D.NPI 1366423196

Title

President

Phone

(508) 888-2767

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcial A. Santos, MD

  • Hospitalist Physician
  • New Bedford, MA
  • NPI 1366423196

  MA

  Medicare reassignment Authorized official
• Eric Arne Weber, MD

  • Internal Medicine Physician
  • West Yarmouth, MA
  • NPI 1376572966

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1013455286",
    "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": "02541",
            "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": "390 ORLEANS RD",
            "city": "NORTH CHATHAM",
            "state": "MA",
            "postal_code": "026501154",
            "telephone_number": "508-945-4611",
            "fax_number": "508-945-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOS MD DR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "MARCIAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-888-2767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "225848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas Kennally, DPT
• Charlotte Miller, MS SLP
• Derek Milone, MSPT
• Colleen Pitts, CCC-SLP
• Kimberly Mara Robinson, OTR/L
• Kevin Charles Smith, DDS
• Wendy Smith, BSPT
• Carrie Louise Spillane, DPT
• Shannon Tambolleo, BS OT

• All providers in North Chatham, MA
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.