NPIMap

Organization Active NPI

Medigroup PC

  • Sleep Disorder Diagnostic Clinic/Center
  • Duxbury, MA
National Provider Identifier
1063689602
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
MEDIGROUP PC
Practice address
20 Tremont St
Suite 20
Duxbury, MA 02332-5310
Phone
(781) 934-9741
Fax
(866) 480-4671
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Dr. Mark Weiner, M.D.
Title
President
Phone
(781) 986-1737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

20 Tremont St
Suite 20
Duxbury, MA 02332-5310

Mailing address

4 Frank Leary Way
Randolph, MA 02368-4512
Phone (781) 986-1737

Other identifiers 1

IdentifierTypeStateIssuer
SF065069OtherMABCBSMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1063689602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FRANK LEARY WAY",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684512",
            "telephone_number": "781-986-1737",
            "fax_number": "866-480-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TREMONT ST",
            "address_2": "SUITE 20",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023325310",
            "telephone_number": "781-934-9741",
            "fax_number": "866-480-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIGROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-986-1737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "SF065069",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.