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PENTUCKET MEDICAL ASSOCIATES LLC NPI 1609872886


NPI Information

NPI: 1609872886
Provider Name: PENTUCKET MEDICAL ASSOCIATES, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
ONE PARKWAY
HAVERHILL, MA
ZIP 01830
Phone: (978) 521-3200
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PENTUCKET MEDICAL ASSOCIATES, LLC is an internal medicine in Haverhill, 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. PENTUCKET MEDICAL ASSOCIATES, LLC NPI is 1609872886. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

ONE PARKWAY
HAVERHILL, MA
ZIP 01830
Phone: (978) 521-3200
Fax: (978) 469-5363

The provider's authorized official is Thomas Louis Fazio .
The authorized official title is Managing Partner and has the following contact phone number (978) 557-8920.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 6/15/2011.


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
1207Q00000XFamily MedicineNo
2207RP1001XInternal MedicinePulmonary DiseaseNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4208000000XPediatricsNo
5207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
6207RG0100XInternal MedicineGastroenterologyNo
7207KA0200XAllergy & ImmunologyAllergyNo
8207RI0011XInternal MedicineInterventional CardiologyNo
9207RI0200XInternal MedicineInfectious DiseaseNo
10207RN0300XInternal MedicineNephrologyNo
112080A0000XPediatricsAdolescent MedicineNo
12207UN0901XNuclear MedicineNuclear CardiologyNo
13207RG0300XInternal MedicineGeriatric MedicineNo
14207QG0300XFamily MedicineGeriatric MedicineNo
15207R00000XInternal MedicineYes

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
1681017OTHERMASSACHUSETTSTUFTS
2M17320OTHERMASSACHUSETTSBCBS
30018028OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN
45313652OTHERAETNA
530210443OTHERNEW HAMPSHIRENH MEDICAID
69786376MEDICAIDMASSACHUSETTS
7M20713MEDICARE 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

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