Active NPI
Dr Malcolm I Price
- Primary Podiatric Medicine Podiatrist
- Fitchburg, MA
National Provider Identifier
1285825364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 1356
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0313173 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Primary Podiatric Medicine Podiatrist
- Ayer, MA
- NPI 1407822992
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.