Active NPIOrganization

Lifeguard Medical Group,llc

Emergency Medicine in Oak Bluffs, Massachusetts

NPI Number1750795084
Practice location
72 Eastville Ave, Oak Bluffs, MA 02557
Fax
—
Last updated
June 26, 2014

Lifeguard Medical Group,llc is a healthcare organization based in Oak Bluffs, MA. Lifeguard Medical Group,llc practices in Oak Bluffs, MA. The NPI Number for Lifeguard Medical Group,llc is 1750795084 and holds a License No. 213570 (MA). The current practice location address for Lifeguard Medical Group,llc is 72 Eastville Ave, Oak Bluffs, MA 02557 and can be reached out via phone at 508-696-6863.

Provider Profile Details

NPI Number
1750795084
Provider Name
Lifeguard Medical Group,llc
Provider Entity Type
Organization
Address
72 Eastville Ave, Oak Bluffs, MA 02557
Phone Number
508-696-6863
Primary Taxonomy
Emergency Medicine · 207P00000X
Organization Subpart
No
Authorized Official
Dr. Jeffrey Robert Zack, MD · Owner · 508-696-6863
Provider Enumeration Date
June 14, 2014
Last Update Date
June 26, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
72 Eastville Ave
Oak Bluffs, MA 02557
Zip
02557
Phone Number
508-696-6863
Oak Bluffs, MA 02557Get directions →

Provider Business Mailing Address Details

Address
Po Box 1356
Oak Bluffs, MA 02557-1356
City
Oak Bluffs
State
MA
Zip
02557-1356

License Information

License Number
213570
License State
MA
Taxonomy
Emergency Medicine · 207P00000X · 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 Lifeguard Medical Group,llc?

The NPI number of Lifeguard Medical Group,llc is 1750795084. It was assigned on June 14, 2014 and is currently active in the NPPES registry.

What is the specialty of Lifeguard Medical Group,llc?

Lifeguard Medical Group,llc is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MA under license number 213570.

Where does Lifeguard Medical Group,llc practice?

The practice location is 72 Eastville Ave, Oak Bluffs, MA 02557. The office can be reached at 508-696-6863 (phone).

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 1750795084 directly on the NPPES registry website.

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