NPIMap

Organization Active NPI

North Quabbin Family Physicians, PC

  • Family Medicine Physician
  • Athol, MA
National Provider Identifier
1457302721
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH QUABBIN FAMILY PHYSICIANS, PC
Practice address
201 S Main St
Athol, MA 01331-2102
Phone
(978) 249-0099
Fax
(978) 249-7227
NPI assigned
May 12, 2006
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
Timothy E Soule-Regine, M.D.NPI 1588664247
Title
Vice-President
Phone
(978) 249-0099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

201 S Main St
Athol, MA 01331-2102

Mailing address

201 S Main St
Athol, MA 01331-2102
Phone (978) 249-0099

Other identifiers 1

IdentifierTypeStateIssuer
9761055MedicaidMA

National Provider Directory

National Provider Directory

Interoperability endpoints

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

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": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457302721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013312102",
            "telephone_number": "978-249-0099",
            "fax_number": "978-249-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013312102",
            "telephone_number": "978-249-0099",
            "fax_number": "978-249-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH QUABBIN FAMILY PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOULE-REGINE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "978-249-0099",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9761055",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athol, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.