Organization Active NPI

Town Center Pediatrics

  • Pediatrics Physician
  • Southborough, MA
National Provider Identifier
1992800957
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
44778OtherFALLON COMMUNITY HEALTH P
615411OtherTUFTS HEALTH PLAN
M16823OtherMABLUECROSS BLUE SHIELD
9783164MedicaidMA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.