NPIMap

Organization Active NPI

Carl M Sousa PC

Doing business as Carl M Sousa MD

  • Internal Medicine Physician
  • Medway, MA
National Provider Identifier
1285718098
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
49040 Issued in MA
Legal business name
CARL M SOUSA PC
Doing business as
Carl M Sousa MD
Practice address
74 Main Street
Medway, MA 02053
Phone
(508) 533-5168
Fax
(508) 533-9345
NPI assigned
Oct 25, 2006
Last updated
Nov 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Carl M Sousa, MDNPI 1720119951
Title
MD
Phone
(508) 533-5168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49040 MA Primary

Addresses

Primary practice location

74 Main Street
Medway, MA 02053

Mailing address

74 Main Street
Medway, MA 02053
Phone (508) 533-5168

Other identifiers 1

IdentifierTypeStateIssuer
9793062MedicaidMA

Other names 1

  • Carl M Sousa MD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1285718098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MAIN STREET",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "02053",
            "telephone_number": "508-533-5168",
            "fax_number": "508-533-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MAIN STREET",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "02053",
            "telephone_number": "508-533-5168",
            "fax_number": "508-533-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL M SOUSA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "SOUSA",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "508-533-5168",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "49040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9793062",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carl M Sousa MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medway, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.