Active NPI
Pioneer Valley Wound Care LLC
- Specialist
- Marlborough, MA
National Provider Identifier
1942693759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PIONEER VALLEY WOUND CARE LLC
- Practice address
- 246 Maple St
Marlborough, MA 01752-3235 - Phone
- (508) 217-4440
- Fax
- (866) 574-9474
- NPI assigned
- Mar 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyler West
- Title
- Physician
- Phone
- (413) 588-7440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA | Primary |
Addresses
Primary practice location
246 Maple St
Marlborough, MA 01752-3235
Mailing address
84 Doane Rd
Ware, MA 01082-9387
National Provider Directory
National Provider DirectoryLocations
571 Union Ave
Ste 102
Framingham, MA 01702
Phone (508) 848-2164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481241600000",
"number": "1942693759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 DOANE RD",
"city": "WARE",
"state": "MA",
"postal_code": "010829387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 MAPLE ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523235",
"telephone_number": "508-217-4440",
"fax_number": "866-574-9474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER VALLEY WOUND CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-18",
"last_updated": "2016-12-09",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "413-588-7440"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.