HALLMARK HEALTH MEDICAL ASSOCIATES INC NPI 1770563900

NPI Information

NPI: 1770563900
Provider Name: HALLMARK HEALTH MEDICAL ASSOCIATES INC

Former Legal Business Name: ELL POND MEDICAL ASSOCIATES INC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
170 GOVERNORS AVE
ATTN: PROVIDER ENROLLMENT
MEDFORD, MA
ZIP 02155
Phone: (781) 338-7521
Get Directions

HALLMARK HEALTH MEDICAL ASSOCIATES INC is a family medicine in Medford, 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. HALLMARK HEALTH MEDICAL ASSOCIATES INC NPI is 1770563900. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Ell Pond Medical Associates Inc.

The provider's business location address is:

170 GOVERNORS AVE
ATTN: PROVIDER ENROLLMENT
MEDFORD, MA
ZIP 02155-643
Phone: (781) 338-7521
Fax: (781) 338-7531

The provider's authorized official is Michael S Turilli .
The authorized official title is Vice President Fiscal Services and has the following contact phone number (781) 338-7415.

The enumeration date for this NPI number is 1/23/2006 and was last updated on 11/18/2009.

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	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
2	207R00000X	Internal Medicine		No
3	207V00000X	Obstetrics & Gynecology		No
4	207RG0100X	Internal Medicine	Gastroenterology	No
5	208600000X	Surgery		No
6	207RG0300X	Internal Medicine	Geriatric Medicine	No
7	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	No
8	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		No
9	207RR0500X	Internal Medicine	Rheumatology	No
10	367A00000X	Advanced Practice Midwife		No
11	363LF0000X	Nurse Practitioner	Family	No
12	363LA2200X	Nurse Practitioner	Adult Health	No
13	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	No
14	363LP2300X	Nurse Practitioner	Primary Care	No
15	207Q00000X	Family Medicine		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M15828	OTHER	MASSACHUSETTS	BLUE CROSS GROUP PROV #
2	9771336	MEDICAID	MASSACHUSETTS
3	M15828	MEDICARE PIN	MASSACHUSETTS

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

NPI Synchronization or Removal

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