Leominster Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LEOMINSTER PRIMARY CARE LLC

Practice address

50 Memorial Drive
Ste 210
Leominster, MA 01453-2238

Phone

(978) 514-8704

Fax

(978) 514-8705

NPI assigned

Dec 8, 2021

Last updated

Dec 8, 2021By 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

Stephanie M ChildNPI 1487797981

Title

Office Manager

Phone

(978) 407-2476

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen T. Child, M.D.

  • Internal Medicine Physician
  • Leominster, MA
  • NPI 1790747442
  Medicare reassignment NPD
• Stephanie Merrill Child, CNM

  • Advanced Practice Midwife
  • Leominster, MA
  • NPI 1487797981
  Authorized official Same address or phone

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1952069874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL DRIVE",
            "address_2": "STE 210",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532238",
            "telephone_number": "978-514-8704",
            "fax_number": "978-514-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL DRIVE",
            "address_2": "STE 210",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532238",
            "telephone_number": "978-514-8704",
            "fax_number": "978-514-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEOMINSTER PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "CHILD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-407-2476"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110049609A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leominster Family Dental Center
• Leominster Family Eyecare PLLC
• Leominster Family Pharmacy, Inc.
• Leominster Medical Associates
• Leominster Optometric Associates, Inc.
• Leominster Rehabilitation and Nursing Center LLC
• Courtney Letourneau, NP-C
• Michael Arthur Levesque
• William Mark Levine, MSW, LICSW
• Janice Flores Lewis, NP

• Internal Medicine Physician in Leominster, MA
• Providers in Leominster, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.