1164634481 NPI number — THE WHITTEMORE GROUP, INC.

Table of content: DR. GLORIA Q. MAKAPUGAY M.D. (NPI 1881759520)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164634481 NPI number — THE WHITTEMORE GROUP, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE WHITTEMORE GROUP, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164634481
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/25/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
118 GREAT RD STE 205
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STOW
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01775-1190
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-897-1770
Provider Business Mailing Address Fax Number:
978-897-1715

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
118 GREAT RD
Provider Second Line Business Practice Location Address:
SUITE 215
Provider Business Practice Location Address City Name:
STOW
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01775-1190
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-897-1770
Provider Business Practice Location Address Fax Number:
978-897-1715
Provider Enumeration Date:
05/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WHITTEMORE
Authorized Official First Name:
TODD
Authorized Official Middle Name:
ALLAN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
978-897-1770

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  2723 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 655790 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: Y4562301 . This is a "MEDICARE INDIVIDUAL #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0003462 . This is a "MEDICARE PIN/PTAN GROUP #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 352540 . This is a "HARVARD PILGRAM HEATHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 699749 . This is a "TUFTS GROUP #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 835626 . This is a "MPN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1368343002 . This is a "CIGNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 3236217 . This is a "AETNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: Y39725 . This is a "BCBS MA GROUP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 499711 . This is a "TUFTS INDIVIDUAL #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: Y36958 . This is a "BCBS MA INDIVIDUAL" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com