WELLSPRING PHYSICIAN, P.C. (MA)
NPI 1265971105
Family Medicine in Boston, MA

NPI Status: Active since February 13, 2017

Contact Information

84 STATE ST
BOSTON, MA
ZIP 02109
Phone: (877) 872-0370
Fax: (855) 908-2520

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  • Organization
  • Family Medicine

About WELLSPRING PHYSICIAN, P.C. (MA)

This page provides the complete NPI Profile along with additional information for Wellspring Physician, P.c. (ma), a primary care provider established in Boston, Massachusetts operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1265971105 assigned on February 2017. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Wellspring Physician, P.c. (ma) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Wellspring Physician, P.c. (ma). The authorized official of this NPI record is Kathryn J Sowerwine Md (Cmo)

NPI
1265971105
Provider Legal Name
WELLSPRING PHYSICIAN, P.C. - MA
Other Organization Name
WELLSPRING PHYSICIAN, P.C. (MA)
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
84 STATE ST BOSTON, MA 02109
Location Phone
(877) 872-0370
Location Fax
(855) 908-2520
Mailing Address
309 N WASHINGTON AVE SUITE 13 BRYAN, TX 77803
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2017
Last Update Date
03-15-2024
Code Navigator

A primary care provider (PCP) like Wellspring Physician, P.c. (ma) sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 309 N Washington Ave Suite 13
    Bryan, TX 77803
    (979) 431-5664

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207K00000XAllopathic & Osteopathic Physicians

Allergy & Immunology

 
2207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

 
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHRYN J SOWERWINE MD

Authorized Official Title
CMO
Authorized Official Phone
(979) 221-1398

Reviews for WELLSPRING PHYSICIAN, P.C. (MA)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265971105
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125187210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 8 + 7 + 2 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1265971105 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

MS. LUCINEIA TANCREDO N.P.

Nurse Practitioner

(Family)

84 STATE ST
SUITE 660
BOSTON, MA
ZIP 02109

(800) 370-3651

MEDOPTIONS OF MASSACHUSETTS LLC

Psychiatry & Neurology

(Psychiatry)

84 STATE ST
SUITE 660
BOSTON, MA
ZIP 02109

(410) 832-2279

JOANNA MACHAIN

Nurse Practitioner

84 STATE ST
SUITE 660
BOSTON, MA
ZIP 02109

(800) 370-3651

TEMPO MEDICAL MASSACHUSETTS PC

Preventive Medicine

(Obesity Medicine)

84 STATE ST
BOSTON, MA
ZIP 02109

(212) 803-9949

VORI HEALTH MEDICAL GROUP, PLLC

Physical Medicine & Rehabilitation

84 STATE ST
BOSTON, MA
ZIP 02109

(866) 719-9611

ERICA MARIE VISCO FNP-BC

Nurse Practitioner

(Family)

84 STATE ST
BOSTON, MA
ZIP 02109

(860) 788-6404

KELLY A LINCOLN FNP

Nurse Practitioner

(Family)

84 STATE ST
BOSTON, MA
ZIP 02109

(860) 788-6404

STEVEN DAVID AFROW NP

Nurse Practitioner

(Gerontology)

84 STATE ST
BOSTON, MA
ZIP 02109

(860) 788-6404

COREY BAECHEL PSYD

Psychologist

(Clinical)

84 STATE ST
BOSTON, MA
ZIP 02109

(860) 788-6404

WORKIT HEALTH MI PLLC

General Practice

84 STATE ST
BOSTON, MA
ZIP 02109

(734) 373-0849

TATUM SIEBERT M.ED

Psychologist

(Clinical)

84 STATE ST
BOSTON, MA
ZIP 02109

(860) 788-6404

AMINA FOUT

Nurse Practitioner

(Psychiatric/Mental Health)

84 STATE ST
BOSTON, MA
ZIP 02109

(860) 788-6404

MRS. TARAH ELIZABETH FOLEY LCSW

Social Worker

(Clinical)

84 STATE ST
BOSTON, MA
ZIP 02109

(860) 788-6404

DR. ARLIE GRAHAM STERLING IV PH.D.

Psychologist

(Clinical)

84 STATE ST
BOSTON, MA
ZIP 02109

(860) 694-4966

KRISTIN SKELLY NP

Nurse Practitioner

(Gerontology)

84 STATE ST
BOSTON, MA
ZIP 02109

(646) 876-8455

MEDITELECARE OF MASSACHUSETTS, PLLC

Psychologist

(Clinical)

84 STATE ST
BOSTON, MA
ZIP 02109

(860) 788-6404

OCTAVE BEHAVIORAL, PA

Psychologist

84 STATE ST
BOSTON, MA
ZIP 02109

(415) 360-3833

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265971105, enumerated as an "organization" on February 13, 2017.

The provider is located at 84 STATE ST BOSTON, MA 02109 and the phone number is (877) 872-0370.

Family Medicine with taxonomy code 207Q00000X.