PMG PHYSICIAN ASSOCIATES P.C. NPI 1871653865

NPI Information

NPI: 1871653865
Provider Name: PMG PHYSICIAN ASSOCIATES, P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 22D1085689

Address:
139 SANDWICH ST
PLYMOUTH, MA
ZIP 02360
Phone: (508) 746-5773
Get Directions

PMG PHYSICIAN ASSOCIATES, 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. PMG PHYSICIAN ASSOCIATES, P.C. NPI is 1871653865. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

139 SANDWICH ST
PLYMOUTH, MA
ZIP 02360-449
Phone: (508) 746-5773

The provider's authorized official is David Grace .
The authorized official title is President and has the following contact phone number (508) 746-7543.

The CLIA number assigned to this NPI record is 22D1085689 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 1/9/2013.

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	363LP0200X	Nurse Practitioner	Pediatrics	No
2	207R00000X	Internal Medicine		No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	No
4	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
5	208000000X	Pediatrics		No
6	363AM0700X	Physician Assistant	Medical	No
7	363LF0000X	Nurse Practitioner	Family	No
8	363LP2300X	Nurse Practitioner	Primary Care	No
9	207RI0200X	Internal Medicine	Infectious Disease	No
10	207RR0500X	Internal Medicine	Rheumatology	No
11	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	M20290	MEDICARE PIN	MASSACHUSETTS
2	9771433	MEDICAID	MASSACHUSETTS
3	M16553	OTHER	MASSACHUSETTS	BCBSMA

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

NPI Synchronization or Removal

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