Individual provider Active NPI

Patthrarawalai Phichalai, M.D., M.P.H.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Somerville, MA
National Provider Identifier
1942756192
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
265320 Issued in MA
Practice address
5 Middlesex Ave.
Cambridge Health Alliance, Occupational Medicine Clinic
Somerville, MA 02145-1677
Phone
(617) 591-4660
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 265320 MA Primary

Addresses

Primary practice location

5 Middlesex Ave.
Cambridge Health Alliance, Occupational Medicine Clinic
Somerville, MA 02145-1677

Mailing address

Eome 1-1402 665 Huntington Avenue
Harvard Occupational Medicine Residency Program
Boston, MA 02115-1677
Phone (617) 432-3327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
265320MAMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1942756192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EOME 1-1402 665 HUNTINGTON AVENUE",
            "address_2": "HARVARD OCCUPATIONAL MEDICINE RESIDENCY PROGRAM",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151677",
            "telephone_number": "617-432-3327",
            "fax_number": "617-432-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MIDDLESEX AVE.",
            "address_2": "CAMBRIDGE HEALTH ALLIANCE, OCCUPATIONAL MEDICINE CLINIC",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451677",
            "telephone_number": "617-591-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHICHALAI",
        "first_name": "PATTHRARAWALAI",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MA",
            "license": "265320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

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