Organization Active NPI

The Otolaryngology Group, P.C.

  • Otolaryngology Physician
  • Concord, MA
National Provider Identifier
1013977552
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
THE OTOLARYNGOLOGY GROUP, P.C.
Practice address
111 Old Road to 9 Acre Cor
Suite 490
Concord, MA 01742-4141
Phone
(978) 371-1400
Fax
(978) 371-0246
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Daniel Vogel, M.D.
Title
Owner
Phone
(978) 371-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

111 Old Road to 9 Acre Cor
Suite 490
Concord, MA 01742-4141

Mailing address

PO Box 1807
Merrimack, NH 03054-1807
Phone (603) 673-9411

Other identifiers 8

IdentifierTypeStateIssuer
0012238OtherMANEIGHBORHOOD HEALTH
1534327OtherMAUNITED MINE WORKERS OF AM
95846OtherMAAETNA
M15183OtherMABLUE CROSS BLUE SHIELD
9442OtherMAHEALTHSOURCE
600537OtherMATUFTS
CL3887OtherMARAILROAD MEDICARE
9763171MedicaidMA

National Provider Directory

National Provider Directory

Locations

111 Old Road To 9 Acre Cor
Ste 490
Concord, MA 01742
Phone (978) 371-1400

133 Littleton Rd
Ste 208
Westford, MA 01886
Phone (978) 371-1400

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1013977552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1807",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030541807",
            "telephone_number": "603-673-9411",
            "fax_number": "603-673-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OLD ROAD TO 9 ACRE COR",
            "address_2": "SUITE 490",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424141",
            "telephone_number": "978-371-1400",
            "fax_number": "978-371-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OTOLARYNGOLOGY GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "VOGEL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-371-1400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0012238",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS OF AM",
            "identifier": "1534327",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "95846",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M15183",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSOURCE",
            "identifier": "9442",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "600537",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL3887",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9763171",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.