NPIMap

Organization Active NPI

Valkyrie Medical Group

  • Contractor
  • East Falmouth, MA
National Provider Identifier
1336400092
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
VALKYRIE MEDICAL GROUP
Practice address
130 Edgewater Dr W
East Falmouth, MA 02536-6428
Phone
(774) 327-9981
NPI assigned
May 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Denise Marks
Title
Owner
Phone
(774) 327-9981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

130 Edgewater Dr W
East Falmouth, MA 02536-6428

Mailing address

130 Edgewater Dr W
East Falmouth, MA 02536-6428
Phone (774) 327-9981

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1336400092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 EDGEWATER DR W",
            "city": "EAST FALMOUTH",
            "state": "MA",
            "postal_code": "025366428",
            "telephone_number": "774-327-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 EDGEWATER DR W",
            "city": "EAST FALMOUTH",
            "state": "MA",
            "postal_code": "025366428",
            "telephone_number": "774-327-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALKYRIE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-327-9981"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.