NPIMap

Organization Active NPI

Patriot Urgent Care Professionals, PC

  • Urgent Care Clinic/Center
  • Stoneham, MA
National Provider Identifier
1588031579
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PATRIOT URGENT CARE PROFESSIONALS, PC
Practice address
16 Main St
Stoneham, MA 02180-3334
Phone
(781) 279-4000
Fax
(781) 279-4001
NPI assigned
Aug 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Mr. David Gordon Adams
Title
Manager / Secretary
Phone
(617) 459-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

16 Main St
Stoneham, MA 02180-3334

Mailing address

16 Main St
Stoneham, MA 02180-3334
Phone (781) 279-4000

Other names 1

  • AFC Doctors Express Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121030000548 MA Part B Supplier - Clinic/Group Practice 8820248784 Receives reassigned benefits from 93 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Waltham, MA; Stoneham, MA; North Andover, MA; Cambridge, MA; Methuen, MA; Medford, MA; Franklin, MA; Chestnut Hill, MA…

Other NPIs on the same Medicare enrollment 16

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

View all 16

National Provider Directory

National Provider Directory

Locations

90 Middlesex Tpke
Unit 5
Burlington, MA 01803
Phone (781) 894-6900

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1588031579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAIN ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803334",
            "telephone_number": "781-279-4000",
            "fax_number": "781-279-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MAIN ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803334",
            "telephone_number": "781-279-4000",
            "fax_number": "781-279-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT URGENT CARE PROFESSIONALS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "MANAGER / SECRETARY",
        "authorized_official_telephone_number": "617-459-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Doctors Express Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.