Dartmouth Medical Walk-in PC II

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DARTMOUTH MEDICAL WALK-IN PC II

Doing business as

Family Med Center

Practice address

210 Washington St
Fairhaven, MA 02719-4044

Phone

(508) 992-5546

Fax

(508) 990-0391

NPI assigned

May 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joy A Gagliardi

Title

Office Manager

Phone

(508) 992-5546

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Med Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philemon T Marvell, M.D.

  • Family Medicine Physician
  • Lincoln, RI
  • NPI 1811074909
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184675779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WASHINGTON ST",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194044",
            "telephone_number": "508-992-5546",
            "fax_number": "508-990-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WASHINGTON ST",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194044",
            "telephone_number": "508-992-5546",
            "fax_number": "508-990-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARTMOUTH MEDICAL WALK-IN PC II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAGLIARDI",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-992-5546"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9757627",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Med Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mboya Marcus Coward Sr., RN
• Michael J Crowe III, DPM
• CVS Pharmacy Inc (CVS Pharmacy # 00610)
• Valentina Dacunha, MD
• Rebecca Daniels, MSW, LICSW
• Morgan Lyn Dasilva
• Carolyn Davidson, M.D.
• Lilibeth Almerol Dayao, PT
• Sonia Dearaujo
• Susan Lynne Debalsi, PA-C

• General Practice Physician in Fairhaven, MA
• Providers in Fairhaven, MA by specialty
• General Practice Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.