1811987720 NPI number — TAUNTON MEDICAL CENTER, PC

Table of content: DR. DONALD PAUL BUHRER JR. M.D. (NPI 1780639260)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811987720 NPI number — TAUNTON MEDICAL CENTER, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TAUNTON MEDICAL CENTER, PC
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:
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:
1811987720
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 9132
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLINE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02446-9132
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-927-0002
Provider Business Mailing Address Fax Number:
603-890-1236

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
54 COURT ST
Provider Second Line Business Practice Location Address:
TAUNTON MEDICAL CENTER
Provider Business Practice Location Address City Name:
TAUNTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02780-3201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-821-2500
Provider Business Practice Location Address Fax Number:
508-821-2122
Provider Enumeration Date:
10/24/2005

Additional Information

Authorized Official

Authorized Official Last Name:
CATICHA
Authorized Official First Name:
OMAR
Authorized Official Middle Name:
Authorized Official Title or Position:
CO-OWNER
Authorized Official Telephone Number:
508-821-2500

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 9703501 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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