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CAPE COD FAMILY PRACTICE & SPORTS MEDICINE P.C. NPI 1336346063


NPI Information

NPI: 1336346063
Provider Name: CAPE COD FAMILY PRACTICE & SPORTS MEDICINE, P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 22D1007093

Address:
34 BATES RD
SUITE 202
MASHPEE, MA
ZIP 02649
Phone: (508) 539-3353
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CAPE COD FAMILY PRACTICE & SPORTS MEDICINE, P.C. is a family medicine in Mashpee, 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. CAPE COD FAMILY PRACTICE & SPORTS MEDICINE, P.C. NPI is 1336346063. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

34 BATES RD
SUITE 202
MASHPEE, MA
ZIP 02649-280
Phone: (508) 539-3353
Fax: (508) 539-6848

The provider's authorized official is Jennifer Mosychuk .
The authorized official title is Office Manager and has the following contact phone number (508) 539-3353.

The CLIA number assigned to this NPI record is 22D1007093 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2007 and was last updated on 4/8/2008.


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
1204C00000XNeuromusculoskeletal Medicine, Sports Medicine210923MASSACHUSETTSNo
2207Q00000XFamily Medicine210923MASSACHUSETTSYes

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
1M20987MEDICARE PIN

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

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