Active NPIOrganization

In His Imagefamily Medicine, P.c.

Nurse Practitioner in Gardner, Massachusetts

NPI Number1477630549
Practice location
250 Green St, Suite 200, Gardner, MA 01440-1396
Fax
978-632-5937
Last updated
September 11, 2025

In His Imagefamily Medicine, P.c. is a healthcare organization based in Gardner, MA. In His Imagefamily Medicine, P.c. practices in Gardner, MA. The NPI Number for In His Imagefamily Medicine, P.c. is 1477630549. The current practice location address for In His Imagefamily Medicine, P.c. is 250 Green St, Suite 200, Gardner, MA 01440-1396 and can be reached out via phone at 978-632-6444 and via fax at 978-632-5937.

Provider Profile Details

NPI Number
1477630549
Provider Name
In His Imagefamily Medicine, P.c.
Provider Entity Type
Organization
Address
250 Green St, Suite 200, Gardner, MA 01440-1396
Phone Number
978-632-6444
Fax Number
978-632-5937
Primary Taxonomy
Nurse Practitioner · 363L00000X
Organization Subpart
No
Authorized Official
Paul A. Carpentier, MD · President · 978-632-6444
Provider Enumeration Date
November 1, 2006
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
250 Green St
Suite 200
Gardner, MA 01440-1396
Zip
01440-1396
Phone Number
978-632-6444
Fax Number
978-632-5937
Gardner, MA 01440Get directions →

Provider Business Mailing Address Details

Address
250 Green St
Suite 200
Gardner, MA 01440-1396
City
Gardner
State
MA
Zip
01440-1396
Phone Number
978-632-6444
Fax Number
978-632-5937

License Information

Taxonomy (1)
Family Medicine · 207Q00000X
Taxonomy (2)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 In His Imagefamily Medicine, P.c.?

The NPI number of In His Imagefamily Medicine, P.c. is 1477630549. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of In His Imagefamily Medicine, P.c.?

In His Imagefamily Medicine, P.c. is registered under the primary taxonomy Nurse Practitioner (code 363L00000X).

Where does In His Imagefamily Medicine, P.c. practice?

The practice location is 250 Green St, Suite 200, Gardner, MA 01440-1396. The office can be reached at 978-632-6444 (phone) or 978-632-5937 (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 1477630549 directly on the NPPES registry website.

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