Heywood Medical Group Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

HEYWOOD MEDICAL GROUP INC.

Practice address

55 Hospital Dr
Winchendon, MA 01475-1820

Phone

(978) 297-2311

NPI assigned

Nov 19, 2020

Organization subpart

Yes

Parent organization

HEYWOOD MEDICAL GROUP INC.As reported in NPPES

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

Authorized official

Name

Thomas J Sullivan

Title

Ceo

Phone

(978) 630-6157

Specialties & licenses 1

Addresses

Other names 1

• Winchendon Health Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Heywood Medical Group Inc3 organizations share this tax ID, including this one

Part of

Heywood Medical Group Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Heywood Medical Group Inc

  • Urgent Care Clinic/Center
  • Athol, MA
  • NPI 1881123552
  NPD tax ID
• Heywood Medical Group, Inc.

  • General Practice Physician
  • Gardner, MA
  • NPI 1477423473
  NPD tax ID

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1861095945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HOSPITAL DR",
            "city": "WINCHENDON",
            "state": "MA",
            "postal_code": "014751820",
            "telephone_number": "978-297-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HOSPITAL DR",
            "city": "WINCHENDON",
            "state": "MA",
            "postal_code": "014751820",
            "telephone_number": "978-297-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEYWOOD MEDICAL GROUP INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEYWOOD MEDICAL GROUP INC.",
        "enumeration_date": "2020-11-19",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-630-6157"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winchendon Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Winchendon Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahmad Hakwati, DMD
• John E. Harrington, M.D.
• David N Havlin, M.D.
• Jay-Christian Paul Helt, PHARMD
• Henry Heywood Memorial Hospital
• Eric Hunt, RPH
• Kathy Elizabeth James, LICSW
• Tamara Jean, COTA/L
• Kavitha Kayathi, M.D.
• Bethany Elaine Kullman-Duval, LICSW

• Rural Health Clinic/Center in Winchendon, MA
• Providers in Winchendon, MA by specialty
• Rural Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.