Organization Active NPI

Carewell Urgent Care Centers of Ma, PC

  • Urgent Care Clinic/Center
  • Worcester, MA
National Provider Identifier
1831580828
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CAREWELL URGENT CARE CENTERS OF MA, PC
Practice address
348 Greenwood St
Worcester, MA 01607-1728
Phone
(617) 302-4194
Fax
(617) 481-9587
NPI assigned
Feb 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
John M Cornwell, M.D.
Title
Medical Director
Phone
(617) 302-4194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

348 Greenwood St
Worcester, MA 01607-1728

Mailing address

2 Adams PL
Suite 305
Quincy, MA 02169-7456
Phone (617) 302-4194

Other names 1

  • CAREWELL URGENT CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120829000745 MA Part B Supplier - Clinic/Group Practice 7618124470 Receives reassigned benefits from 88 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tewksbury, MA; South Dennis, MA; Somerville, MA; Peabody, MA; Norwell, MA; Lexington, MA; Framingham, MA; Cambridge, MA…

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1831580828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ADAMS PL",
            "address_2": "SUITE 305",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697456",
            "telephone_number": "617-302-4194",
            "fax_number": "617-481-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 GREENWOOD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016071728",
            "telephone_number": "617-302-4194",
            "fax_number": "617-481-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREWELL URGENT CARE CENTERS OF MA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "CORNWELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "617-302-4194",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAREWELL URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.