Active NPI
Andrew G Petlock, PA
- Physician Assistant
- Hudson, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1 Cabot Rd Ste 101
Hudson, MA 01749-2963 - Phone
- (978) 562-3536
- Fax
- (978) 562-4626
- NPI assigned
- Sep 19, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1 Cabot Rd Ste 101
Hudson, MA 01749-2963
Mailing address
171 Main St Ste 203B
Ashland, MA 01721-1187
Phone (508) 881-3029
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Petlock.Andrew.CRM@direct.partners.masshiway.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Cabot Rd
Suite 101
Hudson, MA 01749-2963
Phone (978) 562-3536
58 Bedford St
Lexington, MA 02420-4334
Phone (781) 538-4526
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carewell Urgent Care Centers of Ma, PC | Current | Accepting new patients | |
| Charles River Medical Associates PC | Current | Accepting new patients | |
| Carewell Urgent Care Centers of Ma, P.C | Current | Accepting new patients | |
| Charles River Medical Associates PC | Current | Accepting new patients |
Locations
171 Main St
Ste 203B
Ashland, MA 01721
Phone (508) 881-3029
600 Worcester Rd
Ste 504
Framingham, MA 01702
Phone (508) 875-0922
1 Cabot Rd
Ste 101
Hudson, MA 01749
Phone (978) 562-3536
58 Bedford St
Lexington, MA 02420
Phone (781) 538-4526
484 Route 134
South Dennis, MA 02660
Phone (508) 694-7901
345 Main St
Tewksbury, MA 01876
Phone (978) 851-4683
Interoperability endpoints
- petlock.andrew.crm@direct.partners.masshiway.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba CareWell Urgent Care
- Urgent Care Clinic/Center
- South Dennis, MA
- NPI 1740543214
-
- Internal Medicine Physician
- Hudson, MA
- NPI 1841096815
-
- Internal Medicine Physician
- Framingham, MA
- NPI 1598215204
-
dba Carewell Urgent Care
- Urgent Care Clinic/Center
- Lexington, MA
- NPI 1083955892
-
- Urgent Care Clinic/Center
- Fitchburg, MA
- NPI 1699121962
-
- Sports Medicine (Internal Medicine) Physician
- Northborough, MA
- NPI 1710495585
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Marlborough Hospital
- Registered Dietitian
- Marlborough, MA
- NPI 1104488170
Hospital
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1972381077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 MAIN ST STE 203B",
"city": "ASHLAND",
"state": "MA",
"postal_code": "017211187",
"telephone_number": "508-881-3029",
"fax_number": "508-881-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CABOT RD STE 101",
"city": "HUDSON",
"state": "MA",
"postal_code": "017492963",
"telephone_number": "978-562-3536",
"fax_number": "978-562-4626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETLOCK",
"first_name": "ANDREW",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-19",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Petlock.Andrew.CRM@direct.partners.masshiway.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1 Cabot Rd Ste 101",
"city": "Hudson",
"state": "MA",
"country_code": "US",
"postal_code": "017492963",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hudson, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.