Active NPI
Plymouth Medal Group Inc
- Hematology & Oncology Physician
- Boston, MA
National Provider Identifier
1457669293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 219192
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 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 DirectoryNPI 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.