Individual provider Active NPI

Mark Stephen Umphrey II, D.O., M.P.H.

  • Family Medicine Physician
  • Norton, MA
National Provider Identifier
1871931162
Registry record updated May 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
261905 Issued in MA
Practice address
14 Taunton Ave
Norton, MA 02766-2738
Phone
(508) 285-9500
Fax
(508) 285-3388
NPI assigned
Jun 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 261905 MA Primary

Addresses

Primary practice location

14 Taunton Ave
Norton, MA 02766-2738

Mailing address

14 Taunton Ave
Norton, MA 02766-2738
Phone (508) 285-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150810001067 MA Practitioner - Family Practice 5799099487 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sturdy Health IncGroup PAC ID 9537152806, shared by 17 NPIs, 191 clinicians

Practice addresses (Care Compare)

14 Taunton Ave
Norton, MA 02766-2738
Phone (508) 285-9500

60 Messenger St
Plainville, MA 02762-2258
Phone (508) 695-0055

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
261905MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sturdy Health Inc CurrentSince Apr 3, 2018 Accepting new patients
Sturdy Memorial Hospital Inc CurrentSince Oct 30, 2018 Accepting new patients
Sturdy Health Inc Family Medicine CurrentSince Aug 17, 2015 Accepting new patients
Sturdy Health Inc Family Medicine Past Accepting new patients

Locations

14 Taunton Ave
Norton, MA 02766
Phone (508) 285-9500

60 Messenger St
Plainville, MA 02762
Phone (508) 695-0055

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464393600000",
    "number": "1871931162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TAUNTON AVE",
            "city": "NORTON",
            "state": "MA",
            "postal_code": "027662738",
            "telephone_number": "508-285-9500",
            "fax_number": "508-285-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 TAUNTON AVE",
            "city": "NORTON",
            "state": "MA",
            "postal_code": "027662738",
            "telephone_number": "508-285-9500",
            "fax_number": "508-285-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMPHREY",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-07",
        "last_updated": "2016-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "261905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, MA

Sources for this page

Verify at the official NPI Registry.