CHS Massachusetts Medical PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CHS MASSACHUSETTS MEDICAL PC

Practice address

50 Otis St
Astrazeneca
Westborough, MA 01581-3323

Phone

(508) 836-8318

NPI assigned

Apr 18, 2013

Organization subpart

Yes

Parent organization

CHS HEALTH SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Stuart Clark

Title

Executive VP

Phone

(615) 577-4927

Specialties & licenses 1

Addresses

Other names 1

• AZ Health & Wellness Center Doing business as

Tax ID family

Az Health and Wellness Center2 organizations share this tax ID, including this one

Part of

Google Wellness Center 321

Other organizations with this tax ID 1

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

• CHS Massachusetts Medical PC

  • General Practice Physician
  • Waltham, MA
  • NPI 1114361433
  NPD tax ID

Locations

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1669816880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY",
            "address_2": "STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 OTIS ST",
            "address_2": "ASTRAZENECA",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813323",
            "telephone_number": "508-836-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS MASSACHUSETTS MEDICAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHS HEALTH SERVICES, INC",
        "enumeration_date": "2013-04-18",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "615-577-4927"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ Health & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Westborough, MA
• Providers in Westborough, MA by specialty
• General Practice Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.