NPIMap

Organization Active NPI

Walpole Pediatric Assoc., PC

  • Pediatrics Physician
  • Walpole, MA
National Provider Identifier
1710055967
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WALPOLE PEDIATRIC ASSOC., PC
Practice address
1350 Main St
Walpole, MA 02081-1718
Phone
(508) 668-2200
Fax
(608) 668-6539
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Andrew J Arrison, M.D.NPI 1255332821
Title
Treasurer
Phone
(508) 668-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1350 Main St
Walpole, MA 02081-1718

Mailing address

1350 Main St
Walpole, MA 02081-1718
Phone (508) 668-2200

Other identifiers 1

IdentifierTypeStateIssuer
9766367MedicaidMA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0074496Walpole Pediatric Associates1350 Main Street, Walpole, MA 02081Certificate of waiverMar 30, 2028

National Provider Directory

National Provider Directory

Locations

1350 Main St
Ste 1
Walpole, MA 02081
Phone (508) 668-2200

1350 Main St
Walpole, MA 02081
Phone (508) 668-2200

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710055967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811718",
            "telephone_number": "508-668-2200",
            "fax_number": "608-668-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811718",
            "telephone_number": "508-668-2200",
            "fax_number": "608-668-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALPOLE PEDIATRIC ASSOC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARRISON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "508-668-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9766367",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.