Active NPI
Woodbine, PC
- Primary Care Clinic/Center
- Mashpee, MA
National Provider Identifier
1821362294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- WOODBINE, PC
- Practice address
- 5 Industrial Dr
Suite 100
Mashpee, MA 02649-3464 - Phone
- (508) 477-4282
- Fax
- (508) 539-6134
- NPI assigned
- Mar 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tedi C Marsh, CPC, CPP-P
- Title
- Business Manager
- Phone
- (508) 539-6188
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X | 51965 | MA |
Addresses
Primary practice location
5 Industrial Dr
Suite 100
Mashpee, MA 02649-3464
Mailing address
5 Industrial Dr
Suite 100
Mashpee, MA 02649-3464
Phone (508) 477-4282
Other names 1
- Mashpee Family Medicine
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1497195465
-
- Family Medicine Physician
- Mashpee, MA
- NPI 1922000769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330646400000",
"number": "1821362294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 INDUSTRIAL DR",
"address_2": "SUITE 100",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026493464",
"telephone_number": "508-477-4282",
"fax_number": "508-539-6134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 INDUSTRIAL DR",
"address_2": "SUITE 100",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026493464",
"telephone_number": "508-477-4282",
"fax_number": "508-539-6134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODBINE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-02",
"last_updated": "2012-03-02",
"status": "A",
"authorized_official_last_name": "MARSH",
"authorized_official_first_name": "TEDI",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "508-539-6188",
"authorized_official_credential": "CPC, CPP-P"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "MA",
"license": "51965",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mashpee Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mashpee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.