Organization Active NPI

Tak Medical Group, P.C.

  • Hospitalist Physician
  • Leominster, MA
National Provider Identifier
1699013953
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
TAK MEDICAL GROUP, P.C.
Practice address
60 Hospital Road.
Leominster, MA 01453-2134
Phone
(978) 466-4396
Fax
(978) 466-4029
NPI assigned
Jan 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Mr. Raymond D. Fredette.
Title
Executive Vice President
Phone
(978) 466-4033

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X MA
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X MA Primary

Addresses

Primary practice location

60 Hospital Road.
Leominster, MA 01453-2134

Mailing address

48 Nelson St
Leominster, MA 01453-2134
Phone (978) 466-4396

National Provider Directory

National Provider Directory

Locations

48 Nelson St
Leominster, MA 01453
Phone (978) 466-4396

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1699013953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 NELSON ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532134",
            "telephone_number": "978-466-4396",
            "fax_number": "978-466-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HOSPITAL ROAD.",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532134",
            "telephone_number": "978-466-4396",
            "fax_number": "978-466-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAK MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "FREDETTE.",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "978-466-4033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.