Organization Active NPI

Dr Malcolm I Price

  • Primary Podiatric Medicine Podiatrist
  • Fitchburg, MA
National Provider Identifier
1285825364
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
1356 Issued in MA
Legal business name
DR MALCOLM I PRICE
Practice address
79 Prichard St
Fitchburg, MA 01420-3247
Phone
(978) 343-9280
Fax
(978) 342-0630
NPI assigned
Aug 5, 2007
Last updated
Aug 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Dr. Malcolm I Price, DPM
Title
Owner
Phone
(978) 343-9280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 1356 MA Primary

Addresses

Primary practice location

79 Prichard St
Fitchburg, MA 01420-3247

Mailing address

79 Prichard St
PO Box 2380
Fitchburg, MA 01420-3247
Phone (978) 343-9280

Other identifiers 1

IdentifierTypeStateIssuer
0313173MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1285825364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 PRICHARD ST",
            "address_2": "PO BOX 2380",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014203247",
            "telephone_number": "978-343-9280",
            "fax_number": "978-342-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 PRICHARD ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014203247",
            "telephone_number": "978-343-9280",
            "fax_number": "978-342-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MALCOLM I PRICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-343-9280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MA",
            "license": "1356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0313173",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.