Individual provider Active NPI

Eugene B Valsky, M.D.

  • Internal Medicine Physician
  • Plymouth, MA
National Provider Identifier
1255398475
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
227617 Issued in MA
Practice address
45 Resnik Rd
Suite 202
Plymouth, MA 02360-4844
Phone
(508) 746-0754
Fax
(508) 747-7867
NPI assigned
May 1, 2006
Last updated
Feb 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 227617 MA Primary

Addresses

Primary practice location

45 Resnik Rd
Suite 202
Plymouth, MA 02360-4844

Mailing address

45 Resnik Rd
Suite 202
Plymouth, MA 02360-4844
Phone (508) 746-0754

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120420000584 MA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3173784998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
New York Medical College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan Physician Associates IncGroup PAC ID 1254321086, 166 clinicians

Practice addresses (Care Compare)

275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 746-2000

46 Obery St
Plymouth, MA 02360-2237
Phone (508) 210-5920

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Physician Associates, Inc. CurrentSince Nov 1, 2016 Accepting new patients
Jordan Physician Associates, Inc. Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients

Locations

1 County Rd
Bourne, MA 02532
Phone (508) 743-9543

46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920

Interoperability endpoints

  • Direct secure messaging: evalsky253547@direct.bilh.masshiway.net

Organizations & group practices 2

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1255398475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RESNIK RD",
            "address_2": "SUITE 202",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604844",
            "telephone_number": "508-746-0754",
            "fax_number": "508-747-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 RESNIK RD",
            "address_2": "SUITE 202",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604844",
            "telephone_number": "508-746-0754",
            "fax_number": "508-747-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALSKY",
        "first_name": "EUGENE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "227617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.