NPIMap

Organization Active NPI

Hallmark Health Medical Associates Inc

  • Internal Medicine Physician
  • Medford, MA
National Provider Identifier
1942450242
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HALLMARK HEALTH MEDICAL ASSOCIATES INC
Doing business as
HHMA #2-Non-PCHI
Practice address
170 Governors Ave
Hallmark Health Medical Associates Inc (#2)-Non-Pchi
Medford, MA 02155-1643
Phone
(781) 338-7170
Fax
(781) 338-7173
NPI assigned
Sep 23, 2008
Organization subpart
Yes
Parent organization
HALLMARK HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Mr. Michael S Turilli
Title
Vice President Fiscal Services
Phone
(781) 338-7415

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X

Addresses

Primary practice location

170 Governors Ave
Hallmark Health Medical Associates Inc (#2)-Non-Pchi
Medford, MA 02155-1643

Mailing address

PO Box 3237
Hallmark Health Medical Associates Inc (#2)-Non-Pchi
Woburn, MA 01888-3237
Phone (781) 338-7170

Other identifiers 1

IdentifierTypeStateIssuer
NON-PCHI GROUPOtherMABCBS

Other names 1

  • HHMA #2-Non-PCHI Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hallmark Health Medical Associates Inc3 organizations share this tax ID, including this one
Part of
Lasell College

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1942450242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3237",
            "address_2": "HALLMARK HEALTH MEDICAL ASSOCIATES INC (#2)-NON-PCHI",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018883237",
            "telephone_number": "781-338-7170",
            "fax_number": "781-338-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 GOVERNORS AVE",
            "address_2": "HALLMARK HEALTH MEDICAL ASSOCIATES INC (#2)-NON-PCHI",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551643",
            "telephone_number": "781-338-7170",
            "fax_number": "781-338-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLMARK HEALTH MEDICAL ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HALLMARK HEALTH CORPORATION",
        "enumeration_date": "2008-09-23",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "TURILLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT FISCAL SERVICES",
        "authorized_official_telephone_number": "781-338-7415",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NON-PCHI GROUP",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HHMA #2-Non-PCHI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.