Organization Active NPI

Winchester Physician Associates

  • Hematology & Oncology Physician
  • Stoneham, MA
National Provider Identifier
1902976558
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
204890 Issued in MA
Legal business name
WINCHESTER PHYSICIAN ASSOCIATES
Practice address
88 Montvale Ave
Ste 1
Stoneham, MA 02180-3643
Phone
(781) 279-4064
Fax
(781) 279-3946
NPI assigned
Nov 9, 2006
Last updated
Mar 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Eileen Wills
Title
Billing Manager
Phone
(781) 756-7273

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 204890 MA Primary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 37063 MA
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 35266 MA

Addresses

Primary practice location

88 Montvale Ave
Ste 1
Stoneham, MA 02180-3643

Mailing address

PO Box 760
Winchester, MA 01890-4260
Phone (781) 756-7273

Other identifiers 1

IdentifierTypeStateIssuer
9777229MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Winchester Physician As31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

Locations

88 Montvale Ave
Ste 1
Stoneham, MA 02180
Phone (781) 279-4064

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1902976558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904260",
            "telephone_number": "781-756-7273",
            "fax_number": "781-756-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MONTVALE AVE",
            "address_2": "STE 1",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803643",
            "telephone_number": "781-279-4064",
            "fax_number": "781-279-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER PHYSICIAN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "781-756-7273"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MA",
            "license": "204890",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MA",
            "license": "37063",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MA",
            "license": "35266",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9777229",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.