Active NPI
Town Center Pediatrics
- Pediatrics Physician
- Southborough, MA
National Provider Identifier
1992800957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- TOWN CENTER PEDIATRICS
- Practice address
- 162 Cordaville Rd
Suite 185
Southborough, MA 01772-1838 - Phone
- (508) 229-8811
- Fax
- (508) 229-0666
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruth Spaulding
- Title
- Office Manager
- Phone
- (508) 229-8811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
162 Cordaville Rd
Suite 185
Southborough, MA 01772-1838
Mailing address
PO Box 296
Southborough, MA 01772-0296
Phone (508) 229-8811
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44778 | Other | FALLON COMMUNITY HEALTH P | |
| 615411 | Other | TUFTS HEALTH PLAN | |
| M16823 | Other | MA | BLUECROSS BLUE SHIELD |
| 9783164 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
1 E Main St
Ste 208
Northborough, MA 01532
Phone (508) 229-8811
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Worcester, MA
- NPI 1801122965
-
- Pediatrics Physician
- Northborough, MA
- NPI 1992800924
-
- Pediatrics Physician
- Marlboro, MA
- NPI 1770506933
-
- Pediatrics Physician
- Raleigh, NC
- NPI 1346345394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992800957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 296",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017720296",
"telephone_number": "508-229-8811",
"fax_number": "508-229-0666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 CORDAVILLE RD",
"address_2": "SUITE 185",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721838",
"telephone_number": "508-229-8811",
"fax_number": "508-229-0666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN CENTER PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SPAULDING",
"authorized_official_first_name": "RUTH",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "508-229-8811"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH P",
"identifier": "44778",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "615411",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "M16823",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9783164",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.