Heywood Affiliated Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEYWOOD AFFILIATED MEDICAL GROUP, INC.

Doing business as

Heywood Medical Group-Narragansett

Practice address

570 Baldwinville Rd
Baldwinville, MA 01436-1351

Phone

(978) 939-2133

NPI assigned

Oct 24, 2008

Last updated

Mar 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Childs

Title

Practice Administrator

Phone

(978) 630-6249

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Heywood Medical Group-Narragansett Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Heywood Affiliated Medical Group Inc.

  dba Heywood Urgent Care

  • Urgent Care Clinic/Center
  • Gardner, MA
  • NPI 1215304589

  O20040629001351

  Same enrollment
• Heywood Medical Group Inc

  dba Tully Walk-In Care Center

  • Urgent Care Clinic/Center
  • Athol, MA
  • NPI 1881123552

  O20040629001351

  Same enrollment
• Heywood Medical Group Inc.

  • General Practice Physician
  • Gardner, MA
  • NPI 1699762286

  O20040629001351

  Same enrollment

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Heywood Affiliated Medical Group Inc.

  dba Heywood Urgent Care

  • Urgent Care Clinic/Center
  • Gardner, MA
  • NPI 1215304589
  NPPES parent name

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1518110352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GREEN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401396",
            "telephone_number": "978-630-5072",
            "fax_number": "978-630-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 BALDWINVILLE RD",
            "city": "BALDWINVILLE",
            "state": "MA",
            "postal_code": "014361351",
            "telephone_number": "978-939-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEYWOOD AFFILIATED MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "978-630-6249",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9768688",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heywood Medical Group-Narragansett",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Joseph Franklin
• Joseph Daniel Gaidanowicz Jr.
• Sarah Louise Gile
• Hearthside Elderhomes at Baldwinville
• Hearthside Elderhomes, LLC
• Kelly E Hoisington, D.O.
• Britany Jackson
• Janet Alice Johnson
• Gretchen Louise Kelley, M.D.
• Mallory Kirk

• Family Medicine Physician in Baldwinville, MA
• Providers in Baldwinville, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.