Main Street Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAIN STREET FAMILY PRACTICE PC

Practice address

675 Main St
Melrose, MA 02176-3138

Phone

(781) 662-4934

Fax

(781) 662-4711

NPI assigned

Feb 15, 2006

Organization subpart

No

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

Authorized official

Name

Timothy Arthur Tierney, M.D.,

Title

Pres.

Phone

(781) 662-4934

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1598739526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763138",
            "telephone_number": "781-662-4934",
            "fax_number": "781-662-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763138",
            "telephone_number": "781-662-4934",
            "fax_number": "781-662-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "781-662-4934",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Melrose, MA
• Providers in Melrose, 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 Feb 24, 2011; 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.