Tristan North Attleboro PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

TRISTAN NORTH ATTLEBORO PC

Practice address

465 S Washington St
North Attleboro, MA 02760-2159

Phone

(508) 316-0725

Fax

(508) 316-3060

NPI assigned

Dec 6, 2021

Last updated

Dec 20, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SMW MANAGEMENT LLCAs reported in NPPES

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

Authorized official

Name

Ryan J Welter, MDNPI 1124198502

Title

Owner

Phone

(508) 316-0725

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Ryan John Paul Welter, MD

  • Family Medicine Physician
  • North Attleboro, MA
  • NPI 1124198502
  Authorized official Same address or phone
• John A Breda, MD

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1508835653
  NPD (past)

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1265190383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 S WASHINGTON ST",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027602159",
            "telephone_number": "508-316-0725",
            "fax_number": "508-316-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 S WASHINGTON ST",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027602159",
            "telephone_number": "508-316-0725",
            "fax_number": "508-316-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAN NORTH ATTLEBORO PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMW MANAGEMENT LLC",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "WELTER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-316-0725",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Town of North Attleborough (North Attleborough Fire Department)
• Thao Tran, PHARMD
• Susan E Travers, RN
• Tristan Medical Enterprises PC
• Tristan Medical Enterprises PC
• Trust Counseling Services
• Unique Dental Center PC
• Saketh Uppuluri
• Christine Valente, DPT
• Monica Vargas

• Urgent Care Clinic/Center in North Attleboro, MA
• Providers in North Attleboro, MA by specialty
• Urgent Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.