Active NPI
Medi-Merge Inc
- General Practice Physician
- Acton, MA
National Provider Identifier
1508963513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MEDI-MERGE INC
- Practice address
- 436 Great Road
Acton, MA 01720 - Phone
- (978) 263-3332
- Fax
- (978) 263-2386
- NPI assigned
- Sep 20, 2006
- 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
- R T Moody, MD
- Title
- President
- Phone
- (978) 263-3332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MA | Primary |
Addresses
Primary practice location
436 Great Road
Acton, MA 01720
Mailing address
436 Great Road
Acton, MA 01720
Phone (978) 263-3332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M14087 | Other | MA | BCBS OF MA |
Other names 1
- Medi-Check Medical Center
National Provider Directory
National Provider DirectoryLocations
436 Great Rd
Acton, MA 01720
Phone (978) 263-3332
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Medicine Physician
- Acton, MA
- NPI 1316994106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508963513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 GREAT ROAD",
"city": "ACTON",
"state": "MA",
"postal_code": "01720",
"telephone_number": "978-263-3332",
"fax_number": "978-263-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 GREAT ROAD",
"city": "ACTON",
"state": "MA",
"postal_code": "01720",
"telephone_number": "978-263-3332",
"fax_number": "978-263-2386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDI-MERGE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOODY",
"authorized_official_first_name": "R",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-263-3332",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA",
"identifier": "M14087",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medi-Check Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Acton, 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.