Organization Active NPI

Plymouth Medal Group Inc

  • Hematology & Oncology Physician
  • Boston, MA
National Provider Identifier
1457669293
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
219192 Issued in MA
Legal business name
PLYMOUTH MEDAL GROUP INC
Practice address
71 Commercial St
Ste 307
Boston, MA 02109-1320
Phone
(774) 330-9116
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Richard White
Title
Ceo
Phone
(774) 330-9116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 219192 MA Primary

Addresses

Primary practice location

71 Commercial St
Ste 307
Boston, MA 02109-1320

Mailing address

71 Commercial St
Ste 307
Boston, MA 02109-1320

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1457669293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 COMMERCIAL ST",
            "address_2": "STE 307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 COMMERCIAL ST",
            "address_2": "STE 307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091320",
            "telephone_number": "774-330-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH MEDAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "774-330-9116"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MA",
            "license": "219192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.