Healthy Concept Family Practice, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

238587 Issued in MA

Legal business name

HEALTHY CONCEPT FAMILY PRACTICE, LLC

Practice address

118 Main St
Suite #3
Sturbridge, MA 01566-1533

Phone

(774) 241-0450

Fax

(774) 241-0583

NPI assigned

May 18, 2012

Organization subpart

No

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

Authorized official

Name

Junjie Fang, M.D.NPI 1932247061

Title

Owner

Phone

(774) 241-0450

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Junjie Fang, M.D.

  • Family Medicine Physician
  • Sturbridge, MA
  • NPI 1932247061
  NPD Authorized official

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1861752271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OLD BROOK CIR",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015662327",
            "telephone_number": "774-241-0450",
            "fax_number": "774-241-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "address_2": "SUITE #3",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661533",
            "telephone_number": "774-241-0450",
            "fax_number": "774-241-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CONCEPT FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "JUNJIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-241-0450",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "238587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Sturbridge, MA
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.