Organization Active NPI

Michol Negron DO, PC

  • Family Medicine Physician
  • Norwell, MA
National Provider Identifier
1962912030
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
260794 Issued in MA
Legal business name
MICHOL NEGRON DO, PC
Practice address
947 Main St
Norwell, MA 02061-2313
Phone
(781) 561-0515
Fax
(844) 366-6142
NPI assigned
Oct 3, 2017
Last updated
Oct 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Authorized official

Name
Dr. Michol Negron, DONPI 1346209665
Title
Physician
Phone
(781) 561-0515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 260794 MA Primary

Addresses

Primary practice location

947 Main St
Norwell, MA 02061-2313

Mailing address

947 Main St
Norwell, MA 02061-2313
Phone (781) 561-0515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171120002706 MA Part B Supplier - Clinic/Group Practice 9830456276 Receives reassigned benefits from 1 practitioner
Practice locations: East Falmouth, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1962912030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 MAIN ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020612313",
            "telephone_number": "781-561-0515",
            "fax_number": "844-366-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 MAIN ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020612313",
            "telephone_number": "781-561-0515",
            "fax_number": "844-366-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHOL NEGRON DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "NEGRON",
        "authorized_official_first_name": "MICHOL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "781-561-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "260794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.