Organization Active NPI

Dalton Medical Associates, LLP

  • Internal Medicine Physician
  • Dalton, MA
National Provider Identifier
1831225689
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
49734 Issued in MA
Legal business name
DALTON MEDICAL ASSOCIATES, LLP
Practice address
33 North St
Dalton, MA 01226-1202
Phone
(413) 684-2110
Fax
(413) 684-1517
NPI assigned
Feb 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas J Vaughan, MDNPI 1730275140
Title
C0-Partner
Phone
(413) 684-2110

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 49734 MA Primary

Addresses

Primary practice location

33 North St
Dalton, MA 01226-1202

Mailing address

33 North St
Dalton, MA 01226-1202
Phone (413) 684-2110

Other identifiers 1

IdentifierTypeStateIssuer
9702270MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050607000281 MA Part B Supplier - Clinic/Group Practice 0840233219 Receives reassigned benefits from 1 practitioner
Practice locations: Dalton, MA

National Provider Directory

National Provider Directory

Locations

33 North St
Dalton, MA 01226
Phone (413) 684-2110

33 North St
#2
Dalton, MA 01226

Interoperability endpoints

  • Direct secure messaging: johndallenbach@comdal.medalliesdirect.net
  • Direct secure messaging: juliefloyd@comdal.medalliesdirect.net
  • Direct secure messaging: thomasirwin@comdal.medalliesdirect.net
  • Direct secure messaging: thomasvaughan@comdal.medalliesdirect.net
  • Direct secure messaging: yvesbeauchamp@comdal.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831225689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 NORTH ST",
            "city": "DALTON",
            "state": "MA",
            "postal_code": "012261202",
            "telephone_number": "413-684-2110",
            "fax_number": "413-684-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 NORTH ST",
            "city": "DALTON",
            "state": "MA",
            "postal_code": "012261202",
            "telephone_number": "413-684-2110",
            "fax_number": "413-684-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTON MEDICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "C0-PARTNER",
        "authorized_official_telephone_number": "413-684-2110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "49734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9702270",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.