NPIMap

Organization Active NPI

Dana Medicine Surgery and Wound Care LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Hanover, MA
National Provider Identifier
1053987388
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
DANA MEDICINE SURGERY AND WOUND CARE LLC
Practice address
104 Setterland Farm Rd
Hanover, MA 02339-1357
Phone
(781) 964-2777
NPI assigned
May 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
John William, OFFICE MANAGER
Title
Credentialing Specialist
Phone
(551) 246-0906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

104 Setterland Farm Rd
Hanover, MA 02339-1357

Mailing address

104 Setterland Farm Rd
Hanover, MA 02339-1357
Phone (781) 964-2777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1053987388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SETTERLAND FARM RD",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391357",
            "telephone_number": "781-964-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SETTERLAND FARM RD",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391357",
            "telephone_number": "781-964-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA MEDICINE SURGERY AND WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "551-246-0906",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.