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AUTUMN GRACE MEDICAL ASSOCIATES PC NPI 1710905237


NPI Information

NPI: 1710905237
Provider Name: AUTUMN GRACE MEDICAL ASSOCIATES, PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
188 BROADWAY
METHUEN, MA
ZIP 01844
Phone: (978) 682-3939
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AUTUMN GRACE MEDICAL ASSOCIATES, PC is an internal medicine in Methuen, 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. AUTUMN GRACE MEDICAL ASSOCIATES, PC NPI is 1710905237. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

188 BROADWAY
METHUEN, MA
ZIP 01844-862
Phone: (978) 682-3939
Fax: (978) 686-9494

The provider's authorized official is Chih Y Yeh .
The authorized official title is Owner and has the following contact phone number (978) 682-3939.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 11/18/2014.


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 Medicine080819MASSACHUSETTSYes

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
1G03544MEDICARE UPINMASSACHUSETTS
22609134OTHERMASSACHUSETTSAETNA
3M18876OTHERMASSACHUSETTSBLUE CROSS
465440OTHERMASSACHUSETTSHARVARD PILGRIM
55667662OTHERMASSACHUSETTSCIGNA
6625144OTHERMASSACHUSETTSTUFTS
791248OTHERMASSACHUSETTSFALLON
804-10314OTHERMASSACHUSETTSUNITED HEALTHCARE
9M21555MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
109734571MEDICAIDMASSACHUSETTS

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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