Organization Active NPI

Mark a. Painter, MD, PC

  • Gastroenterology Physician
  • Norwood, MA
National Provider Identifier
1710085030
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MARK A. PAINTER, MD, PC
Practice address
95 Chapel St
Suite G-5
Norwood, MA 02062-3155
Phone
(781) 769-6768
Fax
(781) 769-9780
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mark A Painter, MDNPI 1568560878
Title
President
Phone
(781) 769-6768

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X MA Primary

Addresses

Primary practice location

95 Chapel St
Suite G-5
Norwood, MA 02062-3155

Mailing address

95 Chapel St
Suite G-5
Norwood, MA 02062-3155
Phone (781) 769-6768

Other identifiers 10

IdentifierTypeStateIssuer
2070693MedicaidMA
65791OtherMACIGNA HEALTH PLAN
701738OtherMATUFTS HEALTH PLAN
000000026642OtherMABMC HEALTHNET PLAN
0524156OtherMAAETNA HEALTH PLAN
29-02008OtherMAUNITED HEALTH CARE
C18111OtherMABC/BS
6171OtherMAHARVARD PILGRIM HEALTH CA
0004957OtherMANEIGHBORHOOD HEALTH
30911OtherMAFALLON HEALTH PLAN

National Provider Directory

National Provider Directory

Locations

95 Chapel St
Ste G5
Norwood, MA 02062
Phone (781) 769-6768

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710085030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CHAPEL ST",
            "address_2": "SUITE G-5",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623155",
            "telephone_number": "781-769-6768",
            "fax_number": "781-769-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CHAPEL ST",
            "address_2": "SUITE G-5",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623155",
            "telephone_number": "781-769-6768",
            "fax_number": "781-769-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. PAINTER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAINTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-769-6768",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2070693",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLAN",
            "identifier": "65791",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "701738",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "000000026642",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLAN",
            "identifier": "0524156",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "29-02008",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "C18111",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "6171",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0004957",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON HEALTH PLAN",
            "identifier": "30911",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.