Organization Active NPI

Cape Ann Medical Center

  • Internal Medicine Physician
  • Gloucester, MA
National Provider Identifier
1861427486
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CAPE ANN MEDICAL CENTER
Practice address
2 Blackburn Dr
Gloucester, MA 01930-2227
Phone
(978) 281-1500
Fax
(978) 282-3699
NPI assigned
Jul 12, 2006
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
Mrs. Christine M Allen
Title
Office Manager
Phone
(978) 282-3632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2 Blackburn Dr
Gloucester, MA 01930-2227

Mailing address

2 Blackburn Dr
Gloucester, MA 01930-2227
Phone (978) 281-1500

Other identifiers 1

IdentifierTypeStateIssuer
9717528MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861427486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BLACKBURN DR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302227",
            "telephone_number": "978-281-1500",
            "fax_number": "978-282-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BLACKBURN DR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302227",
            "telephone_number": "978-281-1500",
            "fax_number": "978-282-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE ANN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-282-3632",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9717528",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.