NPIMap

Organization Active NPI

Hallmark Health Medical Associates Inc

  • Obstetrics Physician
  • Medford, MA
National Provider Identifier
1568789527
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
HALLMARK HEALTH MEDICAL ASSOCIATES INC
Practice address
170 Governors Ave
Attn: Provider Enrollment-Hhma (3) Contact
Medford, MA 02155-1643
Phone
(781) 338-7521
Fax
(781) 338-7531
NPI assigned
Apr 29, 2010
Organization subpart
Yes
Parent organization
HALLMARK HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Mr. Michael S Turilli
Title
VP Fiscal Services
Phone
(781) 338-7415

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X

Addresses

Primary practice location

170 Governors Ave
Attn: Provider Enrollment-Hhma (3) Contact
Medford, MA 02155-1643

Mailing address

PO Box 3237
Hallmark Health Medical Associates Inc (3)
Woburn, MA 01888-3237
Phone (781) 338-7170

Other identifiers 1

IdentifierTypeStateIssuer
NECQA / IPA BE#OtherMAWINCH-IPA-BCBS

Other names 1

  • HHMA-NECQA Other name

National Provider Directory

National Provider Directory
Tax ID family
Hallmark Health Medical Associates Inc3 organizations share this tax ID, including this one
Part of
Lasell College

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

170 Governors Ave
#3
Medford, MA 02155
Phone (781) 338-7521

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1568789527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3237",
            "address_2": "HALLMARK HEALTH MEDICAL ASSOCIATES INC (3)",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018883237",
            "telephone_number": "781-338-7170",
            "fax_number": "781-338-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 GOVERNORS AVE",
            "address_2": "ATTN: PROVIDER ENROLLMENT-HHMA (3) CONTACT",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551643",
            "telephone_number": "781-338-7521",
            "fax_number": "781-338-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLMARK HEALTH MEDICAL ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HALLMARK HEALTH CORPORATION",
        "enumeration_date": "2010-04-29",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "TURILLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP FISCAL SERVICES",
        "authorized_official_telephone_number": "781-338-7415",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WINCH-IPA-BCBS",
            "identifier": "NECQA / IPA BE#",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HHMA-NECQA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.