Organization Active NPI

Emtar Health Care Inc

  • Family Medicine Physician
  • South Hamilton, MA
National Provider Identifier
1346395894
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47195 Issued in MA
Legal business name
EMTAR HEALTH CARE INC
Practice address
42 Asbury St
South Hamilton, MA 01982-1808
Phone
(978) 468-4101
Fax
(978) 468-7067
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael A EdwardsNPI 1386651073
Title
Physician Owner
Phone
(978) 468-4101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47195 MA Primary

Addresses

Primary practice location

42 Asbury St
South Hamilton, MA 01982-1808

Mailing address

42 Asbury St
South Hamilton, MA 01982-1808
Phone (978) 468-4101

Other identifiers 1

IdentifierTypeStateIssuer
9759620MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060202000487 MA Part B Supplier - Clinic/Group Practice 8921012550 Receives reassigned benefits from 1 practitioner
Practice locations: South Hamilton, MA

National Provider Directory

National Provider Directory

Locations

40 Asbury St
South Hamilton, MA 01982
Phone (978) 468-4101

42 Asbury St
South Hamilton, MA 01982
Phone (978) 233-8120

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346395894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 ASBURY ST",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019821808",
            "telephone_number": "978-468-4101",
            "fax_number": "978-468-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 ASBURY ST",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019821808",
            "telephone_number": "978-468-4101",
            "fax_number": "978-468-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMTAR HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "978-468-4101",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "47195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9759620",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hamilton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.