Autumn Grace Medical Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

080819 Issued in MA

Legal business name

AUTUMN GRACE MEDICAL ASSOCIATES, PC

Practice address

188 Broadway
Methuen, MA 01844-3862

Phone

(978) 682-3939

Fax

(978) 686-9494

NPI assigned

Jul 17, 2006

Last updated

Nov 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chih Y Yeh, M.D.

Title

Owner

Phone

(978) 682-3939

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1710905237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 BROADWAY",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018443862",
            "telephone_number": "978-682-3939",
            "fax_number": "978-686-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 BROADWAY",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018443862",
            "telephone_number": "978-682-3939",
            "fax_number": "978-686-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN GRACE MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "YEH",
        "authorized_official_first_name": "CHIH",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-682-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "080819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "625144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "65440",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "91248",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "04-10314",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2609134",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M18876",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5667662",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9734571",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Asuncion Anthea Arsaga-Mazzone, COTA
• Scott Arthur Sr., APRN
• Stephen Asamoah
• Jude N Atem, FNP
• Adam Audet, RN
• Avanti Home Health Care, LLC
• David A Avila, DO
• Emma Avola, RN
• Ashlie Margaret Ayotte
• Cheryl Ann Azza, LICSW

• Internal Medicine Physician in Methuen, MA
• Providers in Methuen, 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 Nov 18, 2014; 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.