Medical Group Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

2474 Issued in MA

Legal business name

MEDICAL GROUP INC

Practice address

77 Herrick St
Suite 101
Beverly, MA 01915-3012

Phone

(978) 927-4110

Fax

(978) 232-7057

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Harriet A Bering, MD

Title

President

Phone

(978) 927-4110

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Gemini Medical Lab Other name

Tax ID family

Cardiopulmonary Lab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Medical Group Inc

  • Clinical Medical Laboratory
  • Beverly, MA
  • NPI 1467568899
  NPD tax ID
• Medical Group, Inc.

  • Internal Medicine Physician
  • Beverly, MA
  • NPI 1174860209
  NPD tax ID

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1801810213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HERRICK ST",
            "address_2": "SUITE 101",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153012",
            "telephone_number": "978-927-4110",
            "fax_number": "978-232-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HERRICK ST",
            "address_2": "SUITE 101",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153012",
            "telephone_number": "978-927-4110",
            "fax_number": "978-232-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "BERING",
        "authorized_official_first_name": "HARRIET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-927-4110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "2474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0804436",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "M16434",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "63095",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "228316",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gemini Medical Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cynthia L. McRae, MS, LMHC
• Jessica Ann McWalters
• Kathleen Meagher, PSY.D.
• Jessica Medeiros
• Medical Group Inc
• Medical Group, Inc.
• Medical Group, Inc., the
• Medical Psychology Center, LLC
• Laura S Meegan, MA, NCC
• Megan Grandon Licsw LLC

• Clinical Medical Laboratory in Beverly, MA
• Providers in Beverly, MA by specialty
• Clinical Medical Laboratory in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.