Organization Active NPI

Pioneer Valley Wound Care LLC

  • Specialist
  • Marlborough, MA
National Provider Identifier
1942693759
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Dec 9, 2016

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.