Organization Active NPI

Standard Medical Group LLC

  • Internal Medicine Physician
  • Middleton, MA
National Provider Identifier
1396291050
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STANDARD MEDICAL GROUP LLC
Practice address
1 Country Club LN
Middleton, MA 01949-1232
Phone
(216) 571-2337
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Gagandeep Dhingra, MD
Title
Manager
Phone
(216) 571-2337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1 Country Club LN
Middleton, MA 01949-1232

Mailing address

1 Country Club LN
Middleton, MA 01949-1232
Phone (216) 571-2337

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1396291050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COUNTRY CLUB LN",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019491232",
            "telephone_number": "216-571-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COUNTRY CLUB LN",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019491232",
            "telephone_number": "216-571-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDARD MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "DHINGRA",
        "authorized_official_first_name": "GAGANDEEP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "216-571-2337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.