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WINCHESTER PHYSICIAN ASSOCIATES NPI 1053393603


NPI Information

NPI: 1053393603
Provider Name: WINCHESTER PHYSICIAN ASSOCIATES

Doing Business As: RIVERSIDE HEALTHCARE ASSOCIATES

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 22D0670143

Address:
75 RIVERSIDE AVE
SUITE 3
MEDFORD, MA
ZIP 02155
Phone: (781) 396-3701
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WINCHESTER PHYSICIAN ASSOCIATES is an internal medicine in Medford, MA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WINCHESTER PHYSICIAN ASSOCIATES NPI is 1053393603. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverside Healthcare Associates.

The provider's business location address is:

75 RIVERSIDE AVE
SUITE 3
MEDFORD, MA
ZIP 02155-600
Phone: (781) 396-3701
Fax: (781) 396-7716

The provider's authorized official is Eileen Wills .
The authorized official title is Billing Manager and has the following contact phone number (781) 756-7273.

The CLIA number assigned to this NPI record is 22D0670143 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/18/2005 and was last updated on 3/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine76266MASSACHUSETTSNo
2207R00000XInternal Medicine54808MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19777229MEDICAIDMASSACHUSETTS
2M20047MEDICARE PINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.