Professional Medical Center, P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

223405 Issued in MA

Legal business name

PROFESSIONAL MEDICAL CENTER, P.C.

Practice address

65 Milton St
Worcester, MA 01606-2819

Phone

(413) 446-8626

Fax

(413) 446-8626

NPI assigned

Dec 12, 2016

Organization subpart

No

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

Authorized official

Name

Krzystof Kacprzak

Title

President

Phone

(413) 446-8626

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1295279172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MILTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062819",
            "telephone_number": "413-446-6826",
            "fax_number": "413-446-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MILTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062819",
            "telephone_number": "413-446-8626",
            "fax_number": "413-446-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "KACPRZAK",
        "authorized_official_first_name": "KRZYSTOF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-446-8626"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "223405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fabienne Prince-Alce, BCBA
• Jason Robert Prior
• Pristine Home Healthcare Services
• Proactive Families Advocacy Inc.
• Alexander D Procaskey, M.D.
• Professional Nurses Health Services, Inc.
• Professional Therapy Associates, LLC
• Professionals Inc
• Maxine Fidan Profitt, PHD
• Alexei Prokhorov, M.D.

• Primary Care Clinic/Center in Worcester, MA
• Providers in Worcester, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.