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PLYMOUTH CARVER PRIMARY CARE P.C. NPI 1285761619


NPI Information

NPI: 1285761619
Provider Name: PLYMOUTH CARVER PRIMARY CARE, P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 22D0080147

Address:
110 LONG POND RD
SUITE 212
PLYMOUTH, MA
ZIP 02360
Phone: (508) 746-7272
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PLYMOUTH CARVER PRIMARY CARE, P.C. is a family medicine in Plymouth, MA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PLYMOUTH CARVER PRIMARY CARE, P.C. NPI is 1285761619. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

110 LONG POND RD
SUITE 212
PLYMOUTH, MA
ZIP 02360-642
Phone: (508) 746-7272

The provider's authorized official is Janice E Aiello .
The authorized official title is Practice Manager and has the following contact phone number (508) 746-7272.

The CLIA number assigned to this NPI record is 22D0080147 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine226393MASSACHUSETTSYes
2207RC0000XInternal MedicineCardiovascular Disease47038MASSACHUSETTSX
3207RC0000XInternal MedicineCardiovascular Disease220157MASSACHUSETTSX
4207RC0000XInternal MedicineCardiovascular Disease29307MASSACHUSETTSX
5207RG0100XInternal MedicineGastroenterology76027MASSACHUSETTSX
6363LA2200XNurse PractitionerAdult Health182208MASSACHUSETTSX
7363LA2200XNurse PractitionerAdult Health143121MASSACHUSETTSX

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: 5/5/2024

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