NPIMap

Organization Active NPI

Alliance Internal Medicine LLC

Doing business as Alliance Internal Medicine

  • Internal Medicine Physician
  • Vineyard Haven, MA
National Provider Identifier
1366744153
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
224147 Issued in MA
Legal business name
ALLIANCE INTERNAL MEDICINE LLC
Doing business as
Alliance Internal Medicine
Practice address
455 State Rd Unit 11
Vineyard Haven, MA 02568-5695
Phone
(508) 627-3600
Fax
(508) 627-3662
NPI assigned
Nov 30, 2010
Last updated
Jun 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Dr. Gail Marie Obrien, MD
Title
Doctor
Phone
(508) 627-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 224147 MA Primary

Addresses

Primary practice location

455 State Rd Unit 11
Vineyard Haven, MA 02568-5695

Mailing address

PO Box 1210
Edgartown, MA 02539-1210

Other names 1

  • Alliance Internal Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

455 State Rd
Unit 11
Vineyard Haven, MA 02568
Phone (508) 627-3600

Practitioners & affiliated clinicians

Practitioners 5

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": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1366744153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "EDGARTOWN",
            "state": "MA",
            "postal_code": "025391210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 STATE RD UNIT 11",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685695",
            "telephone_number": "508-627-3600",
            "fax_number": "508-627-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "508-627-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "224147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vineyard Haven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.