Meea-Cape Cod Pho LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MEEA-CAPE COD PHO LLC

Practice address

5 Industrial Dr Ste 201
Mashpee, MA 02649-3465

Phone

(508) 539-2444

NPI assigned

Jan 10, 2019

Organization subpart

No

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

Authorized official

Name

Ken Holmes

Title

Cfo

Phone

(617) 573-6950

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618012800000",
    "number": "1669945887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CROWN COLONY DR STE 201",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690904",
            "telephone_number": "617-804-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 INDUSTRIAL DR STE 201",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493465",
            "telephone_number": "508-539-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Long Pond Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Harwich",
            "state": "MA",
            "postal_code": "026451227",
            "country_code": "US",
            "telephone_number": "508-539-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEEA-CAPE COD PHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-573-6950"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K. Robert McIntire, M.D.
• Pamela McLane, LICSW
• Donna-Lee McMullen, LICSW
• Kirsten McNamara, RN
• Medical Affiliates of Cape Cod, Inc.
• Melissa Menangas, LMHC
• Lisa Merritt
• Jessica Meyer, RN
• Michael Perras DC, LLC
• Olivia Mignosa

• Otolaryngology Physician in Mashpee, MA
• Providers in Mashpee, MA by specialty
• Otolaryngology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; 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.