Active NPI
Donald Gedarovich, MD, PC
- Internal Medicine Physician
- Walpole, MA
National Provider Identifier
1922452374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DONALD GEDAROVICH, MD, PC
- Practice address
- 1426 Main St
Suite 5
Walpole, MA 02081-1700 - Phone
- (508) 660-8874
- NPI assigned
- Apr 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Gedarovich, MD
- Title
- President
- Phone
- (774) 277-2265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1426 Main St
Suite 5
Walpole, MA 02081-1700
Mailing address
1426 Main St
Suite 5
Walpole, MA 02081-1700
Phone (508) 660-8874
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461196800000",
"number": "1922452374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 MAIN ST",
"address_2": "SUITE 5",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020811700",
"telephone_number": "508-660-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1426 MAIN ST",
"address_2": "SUITE 5",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020811700",
"telephone_number": "508-660-8874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD GEDAROVICH, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-21",
"last_updated": "2016-04-21",
"status": "A",
"authorized_official_last_name": "GEDAROVICH",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "774-277-2265",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walpole, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.