NPIMap

Organization Active NPI

Anchor Medical Group and Wellness Center PC

  • Addiction Medicine (Internal Medicine) Physician
  • New Bedford, MA
National Provider Identifier
1245615046
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
ANCHOR MEDICAL GROUP AND WELLNESS CENTER PC
Practice address
194 Rockdale Ave
New Bedford, MA 02740-1298
Phone
(508) 951-0847
Fax
(774) 992-0952
NPI assigned
Jul 22, 2015
Last updated
Jul 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Amy Pearsall, MDNPI 1043365927
Title
President
Phone
(508) 951-0847

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Addiction Medicine (Internal Medicine) Physician 207RA0401X Primary

Addresses

Primary practice location

194 Rockdale Ave
New Bedford, MA 02740-1298

Mailing address

194 Rockdale Ave
New Bedford, MA 02740-1298
Phone (508) 951-0847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150910001768 MA Part B Supplier - Clinic/Group Practice 7810204609 Receives reassigned benefits from 10 practitioners
Practice locations: New Bedford, MA; Weymouth, MA; Hudson, MA

National Provider Directory

National Provider Directory

Locations

194 Rockdale Ave
New Bedford, MA 02740
Phone (508) 951-0847

4 Richmond St
Weymouth, MA 02188
Phone (508) 660-0060

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1245615046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 ROCKDALE AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027401298",
            "telephone_number": "508-951-0847",
            "fax_number": "774-992-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 ROCKDALE AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027401298",
            "telephone_number": "508-951-0847",
            "fax_number": "774-992-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR MEDICAL GROUP AND WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "PEARSALL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-951-0847",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.