NPIMap

Organization Active NPI

Charlton Family Practice

  • Family Medicine Physician
  • Charlton, MA
National Provider Identifier
1447321385
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49523 Issued in MA
Legal business name
CHARLTON FAMILY PRACTICE
Practice address
246 Southbridge Road
Charlton, MA 01507-5237
Phone
(508) 248-7849
Fax
(508) 248-6541
NPI assigned
Nov 13, 2006
Last updated
Jul 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Paul D Harrington, M.D.NPI 1972671758
Title
Owner President
Phone
(508) 248-7849

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 49523 MA Primary

Addresses

Primary practice location

246 Southbridge Road
Charlton, MA 01507-5237

Mailing address

246 Southbridge Road
Charlton, MA 01507-5237
Phone (508) 248-7849

Other identifiers 1

IdentifierTypeStateIssuer
9758283MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929000676 MA Part B Supplier - Clinic/Group Practice 3476522160 Receives reassigned benefits from 1 practitioner
Practice locations: Charlton, MA

National Provider Directory

National Provider Directory

Locations

246 Southbridge Rd
Charlton, MA 01507
Phone (508) 248-4801

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1447321385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 SOUTHBRIDGE ROAD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015075237",
            "telephone_number": "508-248-7849",
            "fax_number": "508-248-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 SOUTHBRIDGE ROAD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015075237",
            "telephone_number": "508-248-7849",
            "fax_number": "508-248-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLTON FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "508-248-7849",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "49523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9758283",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.