Paula M Fang, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

50814 Issued in MA

Practice address

170 Governors Ave
Prompt Care - Lawrence Memorial Hospital
Medford, MA 02155-1643

Phone

(781) 306-6180

Fax

(781) 306-6206

NPI assigned

Oct 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Melrosewakefield Healthcare, Inc.

  • General Acute Care Hospital
  • Medford, MA
  • NPI 1841290467
  Medicare reassignment NPD
• Hallmark Health System Inc

  • Internal Medicine Physician
  • Medford, MA
  • NPI 1275673667
  NPD
• Melrosewakefield Healthcare, Inc.

  • Psychiatric Hospital Unit
  • Medford, MA
  • NPI 1891835351
  NPD

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1194714550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 GOVERNORS AVE",
            "address_2": "PROMPT CARE - LAWRENCE MEMORIAL HOSPITAL",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551643",
            "telephone_number": "781-306-6180",
            "fax_number": "781-306-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 GOVERNORS AVE",
            "address_2": "PROMPT CARE - LAWRENCE MEMORIAL HOSPITAL",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551643",
            "telephone_number": "781-306-6180",
            "fax_number": "781-306-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "PAULA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "50814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200992",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS LEGACY NUMBER",
            "identifier": "J02674",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kurt Fabian, MA
• Christine Fahey, LICSW
• Linda Louise Faldetta, PH.D.
• Margaret G Fallon
• Lisa Falvey, LMHC
• Eileen Marie Farahm, M.ED.,CCC-SLP
• Lauren Farenga
• FBBB, Inc.
• Amy Maher Feck
• Camryn Fedeli

• Internal Medicine Physician in Medford, MA
• Providers in Medford, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.