NPIMap

Organization Active NPI

Heritage Medical Group Inc.

  • Anesthesiology Physician
  • Sandwich, MA
National Provider Identifier
1902853468
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
HERITAGE MEDICAL GROUP INC.
Practice address
280 Heritage Park
Heritage Medical Group
Sandwich, MA 02563
Phone
(781) 827-7141
Fax
(781) 834-4292
NPI assigned
May 30, 2006
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Maura Scanzillo
Title
President
Phone
(781) 837-7141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

280 Heritage Park
Heritage Medical Group
Sandwich, MA 02563

Mailing address

PO Box 489
Rockland, MA 02370-0489
Phone (800) 720-1664

Other identifiers 2

IdentifierTypeStateIssuer
DC0220OtherRAILROAD MEDICARE
9739050MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1902853468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "023700489",
            "telephone_number": "800-720-1664",
            "fax_number": "207-753-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 HERITAGE PARK",
            "address_2": "HERITAGE MEDICAL GROUP",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "02563",
            "telephone_number": "781-827-7141",
            "fax_number": "781-834-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "SCANZILLO",
        "authorized_official_first_name": "MAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-837-7141"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC0220",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9739050",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandwich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.