NPIMap

Organization Active NPI

Family Medicine Associates P. C.

Doing business as Family Medicine

  • Primary Care Clinic/Center
  • Beverly, MA
National Provider Identifier
1508864828
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FAMILY MEDICINE ASSOCIATES P. C.
Doing business as
Family Medicine
Practice address
38R Enon St
Ste 1
Beverly, MA 01915-1166
Phone
(978) 927-7727
Fax
(978) 927-4598
NPI assigned
Jul 11, 2005
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
Dr. Tina R Waugh, M.D.NPI 1174510382
Title
Treasurer
Phone
(978) 927-7727

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
Primary Care Clinic/Center 261QP2300X MA Primary

Addresses

Primary practice location

38R Enon St
Ste 1
Beverly, MA 01915-1166

Mailing address

38R Enon St
Ste 1
Beverly, MA 01915-1166
Phone (978) 927-7727

Other identifiers 1

IdentifierTypeStateIssuer
9707981MedicaidMA

Other names 1

  • FAMILY MEDICINE Doing business as

National Provider Directory

National Provider Directory

Locations

38 Enon St
Beverly, MA 01915
Phone (978) 927-7727

38R Enon St
Ste 1
Beverly, MA 01915
Phone (978) 922-8778

Practitioners & affiliated clinicians

Practitioners 7

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": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508864828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38R ENON ST",
            "address_2": "STE 1",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151166",
            "telephone_number": "978-927-7727",
            "fax_number": "978-927-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38R ENON ST",
            "address_2": "STE 1",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151166",
            "telephone_number": "978-927-7727",
            "fax_number": "978-927-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "978-927-7727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9707981",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly, 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.