Family Practice Associates R Taylor E Heyman & R Lee PTRS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS

Practice address

20 Elm St
Pittsfield, MA 01201-6502

Phone

(413) 442-1019

Fax

(413) 447-8521

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Jonathan Grenoble, M.D.

Title

Managing Partner

Phone

(413) 442-1019

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1902835564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016502",
            "telephone_number": "413-442-1019",
            "fax_number": "413-447-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016502",
            "telephone_number": "413-442-1019",
            "fax_number": "413-447-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "GRENOBLE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "413-442-1019",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9727825",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.