Active NPI
Coordinated Primary Care, Inc
Doing business as CPC Multispecialty Group
- Infectious Disease Physician
- Leominster, MA
National Provider Identifier
1093959975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- COORDINATED PRIMARY CARE, INC
- Doing business as
- CPC Multispecialty Group
- Practice address
- 100 Hospital Rd
Suite 1C
Leominster, MA 01453-2253 - Phone
- (978) 466-4212
- Fax
- (978) 466-4669
- NPI assigned
- Apr 23, 2009
- Organization subpart
- Yes
- Parent organization
- CORDINATED PRIMARY CARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phyllis Fabello
- Title
- Executive Director
- Phone
- (978) 466-4268
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
100 Hospital Rd
Suite 1C
Leominster, MA 01453-2253
Mailing address
100 Hospital Rd
Suite 1C
Leominster, MA 01453-2253
Phone (978) 466-4212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M20928 | Other | MA | MEDICARE GROUP NUMBER |
Other names 1
- CPC Multispecialty Group
National Provider Directory
National Provider Directory- Part of
- Coordinated Primary Care Inc
Locations
100 Hospital Rd
Ste 1C
Leominster, MA 01453
Phone (978) 466-4212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244678400000",
"number": "1093959975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD",
"address_2": "SUITE 1C",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532253",
"telephone_number": "978-466-4212",
"fax_number": "978-466-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD",
"address_2": "SUITE 1C",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532253",
"telephone_number": "978-466-4212",
"fax_number": "978-466-4669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COORDINATED PRIMARY CARE, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CORDINATED PRIMARY CARE INC",
"enumeration_date": "2009-04-23",
"last_updated": "2009-06-11",
"status": "A",
"authorized_official_last_name": "FABELLO",
"authorized_official_first_name": "PHYLLIS",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "978-466-4268"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "M20928",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CPC Multispecialty Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Leominster, MA
- Coordinated Primary Care Inc (Healthalliance Internal Medicine)
- Coordinated Primary Care Inc (HealthAlliance Hospitalist Group)
- Coordinated Primary Care Inc (Monthachusett Women'S Health)
- Coordinated Primary Care Inc (Twin City Family Practice)
- Coordinated Primary Care Inc (HealthAlliance Orthopedics)
- Coordinated Primary Care, Inc (Family Practice Associates)
- Coordinated Primary Care, Inc (Urgent Care - Leominster)
- Coordinated Primary Care, Inc (CPC South Leominster Family Practice)
- Coordinated Primary Care, Inc. (HealthAlliance Pediatric Hospitalists Group)
- Coordinated Primary Care, Inc. (Healthalliance)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.