Vernon Integrative Medical Group LLC
Internal Medicine in Worcester, Massachusetts
1114175627- Practice location
- 10 Winthrop St, Worcester, MA 01604
- Phone
- 508-754-9950
- Fax
- 508-754-2592
- Last updated
- September 20, 2012
Vernon Integrative Medical Group LLC is a healthcare organization based in Worcester, MA. Vernon Integrative Medical Group LLC practices in Worcester, MA. The NPI Number for Vernon Integrative Medical Group LLC is 1114175627 and holds a License No. 80587 (MA). The current practice location address for Vernon Integrative Medical Group LLC is 10 Winthrop St, Worcester, MA 01604 and can be reached out via phone at 508-754-9950 and via fax at 508-754-2592.
Provider Profile Details
- NPI Number
- 1114175627
- Provider Name
- Vernon Integrative Medical Group LLC
- Provider Entity Type
- Organization
- Address
- 10 Winthrop St, Worcester, MA 01604
- Phone Number
- 508-754-9950
- Fax Number
- 508-754-2592
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Jon Trister, MD · MD Internal Medicine · 508-754-9950
- Provider Enumeration Date
- September 9, 2008
- Last Update Date
- September 20, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Winthrop St
Worcester, MA 01604 - City
- Worcester
- State
- Massachusetts
- Zip
- 01604
- Phone Number
- 508-754-9950
- Fax Number
- 508-754-2592
Provider Business Mailing Address Details
- Address
- 10 Winthrop St
Worcester, MA 01604 - City
- Worcester
- State
- MA
- Zip
- 01604
- Phone Number
- 508-754-9950
- Fax Number
- 508-754-2592
License Information
- License Number
- 80587
- License State
- MA
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Vernon Integrative Medical Group LLC?
The NPI number of Vernon Integrative Medical Group LLC is 1114175627. It was assigned on September 9, 2008 and is currently active in the NPPES registry.
What is the specialty of Vernon Integrative Medical Group LLC?
Vernon Integrative Medical Group LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 80587.
Where does Vernon Integrative Medical Group LLC practice?
The practice location is 10 Winthrop St, Worcester, MA 01604. The office can be reached at 508-754-9950 (phone) or 508-754-2592 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114175627 directly on the NPPES registry website.