MYSTIC VALLEY PEDIATRICS
NPI 1043293731
Pediatrics in Medford, MA

Q: What is Winchester Physician Associates's NPI number?

The NPI number for Winchester Physician Associates is 1043293731. It was assigned to this organization in the NPPES registry on November 28, 2005. The provider is doing business as Mystic Valley Pediatrics.

Q: What is Winchester Physician Associates's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since November 28, 2005

75 RIVERSIDE AVE, 2, MEDFORD, MA 02155(781) 391-8821(781) 395-8798 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mystic Valley Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYSTIC VALLEY PEDIATRICS (NPI 1043293731) is a healthcare organization registered as a pediatrics in Medford, Massachusetts and active in the NPI registry since November 2005. The organization lists Eileen Wills, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1043293731

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameWINCHESTER PHYSICIAN ASSOCIATES

Location Address75 RIVERSIDE AVE, 2Medford, MA 02155-4600

Mailing AddressPo Box 760Winchester, MA 01890-4260 · (781) 756-7273 · Fax (781) 756-7274

Phone(781) 391-8821

Fax(781) 395-8798

Organization SubpartNo

Authorized OfficialEileen WillsBilling Manager · (781) 756-7273

Enumeration DateNovember 28, 2005

Last NPPES UpdateMarch 20, 2008

✔ NPI 1043293731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MA · 73788✔ Licensed in MA · 73721✔ Licensed in MA · 74993

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

75 RIVERSIDE AVE, Medford, MA 02155

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Other Names 1

Doing Business AsMystic Valley Pediatrics

Other Identifiers 2

Medicare PINM20047MA

Medicaid9777229MA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIE T. WALSH CONDON MD

Family Medicine

75 RIVERSIDE AVE, SUITE 2
MEDFORD, MA 02155

Middlesex County (781) 306-0200

WINCHESTER PHYSICIAN ASSOCIATES

Internal Medicine

75 RIVERSIDE AVE, SUITE 3
MEDFORD, MA 02155

Middlesex County (781) 396-3701

NANCY MADDOX R.D.

Dietitian, Registered

75 RIVERSIDE AVE
MEDFORD, MA 02155

Middlesex County (781) 396-6221

MS. DIANE M DOUCETTE FNP

Registered Nurse (Diabetes Educator)

75 RIVERSIDE AVE, SUITE 3
MEDFORD, MA 02155

Middlesex County (781) 396-6437

MRS. KATHLEEN ANNE BUTLER R.D.

Dietitian, Registered

75 RIVERSIDE AVE, SUITE 3
MEDFORD, MA 02155

Middlesex County (781) 396-6221

JANET NOLAN RD, LDN

Dietitian, Registered

75 RIVERSIDE AVE, SUITE 3
MEDFORD, MA 02155

Middlesex County (781) 396-6221

CLIFFORD MICHAELSON M.D.

Ophthalmology

75 RIVERSIDE AVE, SUITE 3
MEDFORD, MA 02155

Middlesex County (781) 756-7273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Winchester Physician Associates's NPI number?

The NPI number for Winchester Physician Associates is 1043293731. It was assigned to this organization in the NPPES registry on November 28, 2005. The provider is doing business as Mystic Valley Pediatrics.

Where is Winchester Physician Associates located?

Winchester Physician Associates is located at 75 Riverside Ave 2, Medford, MA 02155. The listed phone number is (781) 391-8821.

What is Winchester Physician Associates's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Winchester Physician Associates was last updated on March 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.