Organization Active NPI

One to One GYN Westford PC

  • Obstetrics & Gynecology Physician
  • Westford, MA
National Provider Identifier
1922600931
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ONE TO ONE GYN WESTFORD PC
Practice address
2 Lan Dr Ste 203
Westford, MA 01886-3550
Phone
(502) 244-9859
Fax
(770) 573-9513
NPI assigned
Nov 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Steven Smith, CREDENTIALING
Title
Manager
Phone
(502) 244-9859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

2 Lan Dr Ste 203
Westford, MA 01886-3550

Mailing address

2 Lan Dr Ste 203
Westford, MA 01886-3550
Phone (502) 244-9859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210107000526 MA Part B Supplier - Clinic/Group Practice 7012320286 Receives reassigned benefits from 1 practitioner
Practice locations: Westford, MA

National Provider Directory

National Provider Directory

Locations

2 Lan Dr
Ste 203
Westford, MA 01886
Phone (978) 850-3355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1922600931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LAN DR STE 203",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863550",
            "telephone_number": "502-244-9859",
            "fax_number": "770-573-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LAN DR STE 203",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863550",
            "telephone_number": "502-244-9859",
            "fax_number": "770-573-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE TO ONE GYN WESTFORD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-244-9859",
        "authorized_official_credential": "CREDENTIALING"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.