Organization Active NPI

Physicians of North Worcester County

  • Internal Medicine Physician
  • Athol, MA
National Provider Identifier
1962536607
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PHYSICIANS OF NORTH WORCESTER COUNTY
Practice address
80 Mechanic St
Athol, MA 01331-3534
Phone
(978) 249-7818
Fax
(978) 249-4445
NPI assigned
Mar 15, 2007
Last updated
Jan 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Lourdes Banting Flaminiano, MDNPI 1861440240
Title
President
Phone
(978) 368-3870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

80 Mechanic St
Athol, MA 01331-3534

Mailing address

201 Highland St
Suite 2
Clinton, MA 01510-1037
Phone (978) 368-3870

Other identifiers 2

IdentifierTypeStateIssuer
M15501OtherMDBCBS
9768874MedicaidMA

National Provider Directory

National Provider Directory

Locations

1467 Main St
#R
Athol, MA 01331
Phone (978) 249-7818

201 Highland St
Ste 2
Clinton, MA 01510
Phone (978) 368-3870

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1962536607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HIGHLAND ST",
            "address_2": "SUITE 2",
            "city": "CLINTON",
            "state": "MA",
            "postal_code": "015101037",
            "telephone_number": "978-368-3870",
            "fax_number": "978-368-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MECHANIC ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013313534",
            "telephone_number": "978-249-7818",
            "fax_number": "978-249-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS OF NORTH WORCESTER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "FLAMINIANO",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "BANTING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-368-3870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M15501",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9768874",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athol, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.