Active NPI
The Otolaryngology Group, P.C.
- Otolaryngology Physician
- Concord, MA
National Provider Identifier
1013977552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012238 | Other | MA | NEIGHBORHOOD HEALTH |
| 1534327 | Other | MA | UNITED MINE WORKERS OF AM |
| 95846 | Other | MA | AETNA |
| M15183 | Other | MA | BLUE CROSS BLUE SHIELD |
| 9442 | Other | MA | HEALTHSOURCE |
| 600537 | Other | MA | TUFTS |
| CL3887 | Other | MA | RAILROAD MEDICARE |
| 9763171 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
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.