NPIMap

Organization Active NPI

LGH Medical Group, Inc.

  • Sleep Medicine (Internal Medicine) Physician
  • Lowell, MA
National Provider Identifier
1932652401
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
LGH MEDICAL GROUP, INC.
Practice address
295 Varnum Ave
Lowell, MA 01854-2134
Phone
(978) 788-7218
Fax
(978) 937-6850
NPI assigned
Aug 1, 2016
Last updated
Aug 1, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CIRCLE HEALTH PHYSICIANS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Authorized official

Name
Mr. William F Wyman, FACHE, FHFMA
Title
Vice President of Revenue Services
Phone
(978) 937-6034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU Primary

Addresses

Primary practice location

295 Varnum Ave
Lowell, MA 01854-2134

Mailing address

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 788-7218

National Provider Directory

National Provider Directory
Tax ID family
LGH Medical Group Inc5 organizations share this tax ID, including this one
Part of
Circle Health Physicians Inc

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1932652401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542134",
            "telephone_number": "978-788-7218",
            "fax_number": "978-937-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542134",
            "telephone_number": "978-788-7218",
            "fax_number": "978-937-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGH MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIRCLE HEALTH PHYSICIANS, INC.",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "WYMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT OF REVENUE SERVICES",
        "authorized_official_telephone_number": "978-937-6034",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE, FHFMA"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.