R. Wendell Pierce M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

34470 Issued in MA

Legal business name

R. WENDELL PIERCE M.D., P.C.

Practice address

955 Main St
Suite 305
Winchester, MA 01890-1961

Phone

(781) 729-9577

Fax

(781) 721-0163

NPI assigned

Feb 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ralph Wendell Pierce, M.D.

Title

President

Phone

(781) 729-9577

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• R. W. Pierce M.D., P.C. Other name

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942340823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MAIN ST",
            "address_2": "SUITE 305",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901961",
            "telephone_number": "781-729-9577",
            "fax_number": "781-721-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST",
            "address_2": "SUITE 305",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901961",
            "telephone_number": "781-729-9577",
            "fax_number": "781-721-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. WENDELL PIERCE M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "WENDELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-729-9577",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "34470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA BUSINESS #",
            "identifier": "0239721019",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN IDENTIF",
            "identifier": "702532",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0173061",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. PIERCE'S NPI",
            "identifier": "1790798361",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R. W. Pierce M.D., P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Winchester, MA
• Providers in Winchester, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.