NPIMap

Organization Active NPI

Compassionate Care Physicians LLC

  • Primary Care Clinic/Center
  • Maynard, MA
National Provider Identifier
1306403613
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COMPASSIONATE CARE PHYSICIANS LLC
Practice address
9 Mill and Main PL Ste 101
Maynard, MA 01754-2651
Phone
(978) 823-0023
Fax
(978) 823-0000
NPI assigned
May 22, 2019
Last updated
May 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

Name
Karen M Fanucci, MD
Title
Owner
Phone
(978) 823-0023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9 Mill and Main PL Ste 101
Maynard, MA 01754-2651

Mailing address

9 Mill and Main PL Ste 101
Maynard, MA 01754-2651
Phone (978) 823-0023

National Provider Directory

National Provider Directory

Locations

9 Mill and Main Pl
Ste 101
Maynard, MA 01754
Phone (978) 371-5386

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1306403613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MILL AND MAIN PL STE 101",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017542651",
            "telephone_number": "978-823-0023",
            "fax_number": "978-823-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MILL AND MAIN PL STE 101",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017542651",
            "telephone_number": "978-823-0023",
            "fax_number": "978-823-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "FANUCCI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-823-0023",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maynard, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.