NPIMap

Organization Active NPI

Winchester Physician Associates Inc

  • Family Medicine Physician
  • Stoneham, MA
National Provider Identifier
1770019903
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WINCHESTER PHYSICIAN ASSOCIATES INC
Practice address
88 Montvale Avenue
Stoneham, MA 02180
Phone
(781) 662-6400
Fax
(781) 979-4801
NPI assigned
May 9, 2017
Organization subpart
Yes
Parent organization
WINCHESTER PHYSICIAN ASSOCIATES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Eileen Wills
Title
Manager
Phone
(781) 756-7273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

88 Montvale Avenue
Stoneham, MA 02180

Mailing address

88 Montvale Avenue
Stoneham, MA 02180
Phone (781) 662-6400

Other names 1

  • Family Care Center Other name

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
22D0685806Family Care Center Stoneham88 Montvale Avenue, Stoneham, MA 02180Certificate of waiverSep 6, 2026

National Provider Directory

National Provider Directory
Tax ID family
Winchester Physician Associates31 organizations share this tax ID, including this one
Part of
Winchester Physician Associates

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1770019903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MONTVALE AVENUE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "02180",
            "telephone_number": "781-662-6400",
            "fax_number": "781-979-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MONTVALE AVENUE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "02180",
            "telephone_number": "781-662-6400",
            "fax_number": "781-979-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER PHYSICIAN ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINCHESTER PHYSICIAN ASSOCIATES INC.",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-756-7273"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.