Organization Active NPI

Woodbine, PC

  • Primary Care Clinic/Center
  • Mashpee, MA
National Provider Identifier
1821362294
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Mar 2, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

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.

Verify at the official NPI Registry.