Organization Active NPI

Hopedale Cardiology, PC

  • Specialist
  • Upton, MA
National Provider Identifier
1487851580
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
207RC0000X Issued in MA
Legal business name
HOPEDALE CARDIOLOGY, PC
Practice address
236 Milford St.
Upton, MA 01568
Phone
(508) 473-1015
Fax
(508) 634-0261
NPI assigned
Jul 2, 2007
Last updated
Jan 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Dr. William J. Shine, M.D.
Title
President
Phone
(508) 473-1015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 207RC0000X MA Primary

Addresses

Primary practice location

236 Milford St.
Upton, MA 01568

Mailing address

236 Milford St
Upton, MA 01568-1309
Phone (508) 473-1015

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1487851580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 MILFORD ST",
            "city": "UPTON",
            "state": "MA",
            "postal_code": "015681309",
            "telephone_number": "508-473-1015",
            "fax_number": "508-634-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 MILFORD ST.",
            "city": "UPTON",
            "state": "MA",
            "postal_code": "01568",
            "telephone_number": "508-473-1015",
            "fax_number": "508-634-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEDALE CARDIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "SHINE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-473-1015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "207RC0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.