Dhmgt LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DHMGT LLC

Practice address

210 Bear Hill Rd Ste 304
Waltham, MA 02451-1025

Phone

(781) 684-0600

NPI assigned

Oct 4, 2022

Organization subpart

Yes

Parent organization

DISCOVER HEALTH MEDICAL GROUP THREE, INC.As reported in NPPES

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

Authorized official

Name

Daniel Astrachan

Title

Vice President

Phone

(203) 376-9388

Specialties & licenses 3

Addresses

Part of

Discover Health Medical Group Three Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Discover Health Medical Group Three, Inc.

  • Internal Medicine Physician
  • Waltham, MA
  • NPI 1710601661
  NPPES parent name

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1699499517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 WEBB BRIDGE RD UNIT 4890",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BEAR HILL RD STE 304",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511025",
            "telephone_number": "781-684-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHMGT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DISCOVER HEALTH MEDICAL GROUP THREE, INC.",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "ASTRACHAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "203-376-9388"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Waltham, MA
• Providers in Waltham, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.