NPIMap

Organization Active NPI

Henry Heywood Memorial Hospital

Doing business as Heywood Emergency Room Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Gardner, MA
National Provider Identifier
1013529502
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
HENRY HEYWOOD MEMORIAL HOSPITAL
Doing business as
Heywood Emergency Room Physicians
Practice address
242 Green St
Gardner, MA 01440-1336
Phone
(978) 630-6944
NPI assigned
Aug 18, 2020
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HENRY HEYWOOD MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Thomas J Sullivan
Title
Ceo
Phone
(978) 630-6157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0004X Primary

Addresses

Primary practice location

242 Green St
Gardner, MA 01440-1336

Mailing address

242 Green St
Gardner, MA 01440-1373
Phone (978) 630-6944

Other names 1

  • Heywood Emergency Room Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Winchendon Health Ctr F7 organizations share this tax ID, including this one
Part of
Winchendon Health Ctr F

Other organizations with this tax ID 6

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

Locations

90 Ter Heun Dr
Ste 2300
Falmouth, MA 02540
Phone (508) 495-7160

250 Green St
Ste 100
Gardner, MA 01440
Phone (617) 632-4324

33 Edgerton Dr
Ste C
North Falmouth, MA 02556
Phone (774) 552-3211

2201 Murphy Ave
Ste 215
Nashville, TN 37203
Phone (615) 342-7820

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1013529502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 GREEN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401373",
            "telephone_number": "978-630-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 GREEN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401336",
            "telephone_number": "978-630-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY HEYWOOD MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENRY HEYWOOD MEMORIAL HOSPITAL",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-06-08",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-630-6157"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heywood Emergency Room Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.