Organization Active NPI

Donald Gedarovich, MD, PC

  • Internal Medicine Physician
  • Walpole, MA
National Provider Identifier
1922452374
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Apr 21, 2016

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.