DEDHAM MEDICAL ASSOC INC – NPI #1184624256
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Health Care Provider Taxonomy Code for Internal Medicine

DEDHAM MEDICAL ASSOC INC is a provider located in DEDHAM, MA. NPPES has assigned the NPI number 1184624256 to DEDHAM MEDICAL ASSOC INC on July 29, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEDHAM MEDICAL ASSOC INC below.

NPI Profile for
DEDHAM MEDICAL ASSOC INC

NPI Number
1184624256
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEDHAM MEDICAL ASSOC INC
Primary location
1 LYONS ST
DEDHAM, MA 02026-5599
Phone: (781) 329-1400 Fax: (781) 278-5667
Mailing address
PO BOX 9120
DEDHAM, MA 02027-9120
Phone: (781) 329-1400 Fax: (781) 278-5667
Organization Subpart
No
Authorized Official
RICHARD RUSSO
CFO
Phone: (781) 927-8554
Updated
Identifiers

Identifiers for DEDHAM MEDICAL ASSOC INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDMA9766561
MEDICAIDMA9766626
MEDICAIDMA9766634
MEDICAIDMA9766529
MEDICAIDMA9766537
MEDICAIDMA9766588
MEDICAIDMA9766596
MEDICAIDMA9766553
MEDICAIDMA9766545
MEDICAIDMA9766618
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)		 MA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.