NPIMap

Organization Active NPI

Primary Care Specialists Inc.

  • Primary Care Clinic/Center
  • Ayer, MA
National Provider Identifier
1346208196
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRIMARY CARE SPECIALISTS INC.
Practice address
190 Groton Rd
Suite 110
Ayer, MA 01432-1124
Phone
(978) 772-2780
Fax
(978) 772-6959
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Dr. Terrance C Hack, M.D., F.A.C.C.
Title
President/Owner
Phone
(978) 772-2780

Specialties & licenses 1

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

Addresses

Primary practice location

190 Groton Rd
Suite 110
Ayer, MA 01432-1124

Mailing address

190 Groton Rd
Suite 110
Ayer, MA 01432-1124
Phone (978) 772-2780

Other identifiers 2

IdentifierTypeStateIssuer
C15355OtherMARAIL ROAD MEDICARE
9765832MedicaidMA

Other names 1

  • Primary Care Cardiology Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

190 Groton Rd
Ste 110
Ayer, MA 01432
Phone (978) 772-2780

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHDJBD

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1346208196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GROTON RD",
            "address_2": "SUITE 110",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321124",
            "telephone_number": "978-772-2780",
            "fax_number": "978-772-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GROTON RD",
            "address_2": "SUITE 110",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321124",
            "telephone_number": "978-772-2780",
            "fax_number": "978-772-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SPECIALISTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "HACK",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "978-772-2780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "C15355",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9765832",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Cardiology Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ayer, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.