NPIMap

Organization Active NPI

McBrine & Vasconcellos MD PC

  • Hematology & Oncology Physician
  • Mansfield, MA
National Provider Identifier
1801860200
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MCBRINE & VASCONCELLOS MD PC
Practice address
205 Chauncey St
Mansfield, MA 02048
Phone
(508) 339-2105
Fax
(508) 339-5837
NPI assigned
Feb 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Carol Ann Vasconcellos, MDNPI 1053385393
Title
Owner
Phone
(508) 339-2105

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

205 Chauncey St
Mansfield, MA 02048

Mailing address

205 Chauncy St
Mansfield, MA 02048-1202
Phone (508) 339-2105

Other identifiers 1

IdentifierTypeStateIssuer
9777954MedicaidMA

National Provider Directory

National Provider Directory

Locations

205 Chauncy St
Mansfield, MA 02048
Phone (508) 339-2105

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1801860200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CHAUNCY ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481202",
            "telephone_number": "508-339-2105",
            "fax_number": "508-339-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CHAUNCEY ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "02048",
            "telephone_number": "508-339-2105",
            "fax_number": "508-339-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCBRINE & VASCONCELLOS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "VASCONCELLOS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-339-2105",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9777954",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.