Evening Pediatric Clinic of Cape Cod PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

EVENING PEDIATRIC CLINIC OF CAPE COD PC

Practice address

244 Willow St
Yarmouth Port, MA 02675-1757

Phone

(508) 362-5437

Fax

(508) 362-5450

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Leif R Norenberg, MD

Title

President

Phone

(508) 362-5437

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1215105366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026750250",
            "telephone_number": "508-362-5437",
            "fax_number": "508-362-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WILLOW ST",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751757",
            "telephone_number": "508-362-5437",
            "fax_number": "508-362-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENING PEDIATRIC CLINIC OF CAPE COD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "NORENBERG",
        "authorized_official_first_name": "LEIF",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-362-5437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Vecchione Duenas, MS FNP
• Mary Margaret Dumas
• Elmir Sehic, M.D. P.C
• Sharon Enright
• Cheryl Eppel, L.I.C.S.W.
• Andrea Erin Fichter, RN BSN CWCN
• Finding Strength Counseling and Care Management LLC
• Cayleigh Marie Fleming
• Jesse Dylan Flynn
• Alexandra L. Foley

• Pediatrics Physician in Yarmouth Port, MA
• Providers in Yarmouth Port, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.