MEDIGROUP PC
NPI 1669588372
Neuromusculoskeletal Medicine, Sports Medicine in Randolph, MA

Q: What is Medigroup PC's NPI number?

The NPI number for Medigroup PC is 1669588372. It was assigned to this organization in the NPPES registry on August 23, 2006.

Q: What is Medigroup PC's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

Q: When was this NPI record last updated?

The NPPES record for Medigroup PC was last updated on September 10, 2007. 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.

Active since August 23, 2006

4 FRANK LEARY WAY, RANDOLPH, MA 02368(781) 986-1737(781) 986-0507 Get Directions Write a Review

NPPES record last updated: September 10, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Medigroup Pc NPPES

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

MEDIGROUP PC (NPI 1669588372) is a healthcare organization registered as a neuromusculoskeletal medicine, sports medicine in Randolph, Massachusetts and active in the NPI registry since August 2006. The organization lists Mark Weiner, Owner, as its authorized official.

NPPES Registry Identity

NPI1669588372

Entity TypeOrganization

Primary Taxonomy204C00000X

Legal Business NameMEDIGROUP PC

Location Address4 FRANK LEARY WAYRandolph, MA 02368-4512

Mailing Address4 Frank Leary WayRandolph, MA 02368-4512

Phone(781) 986-1737

Fax(781) 986-0507

Organization SubpartNo

Authorized OfficialMark WeinerOwner · (781) 986-1737

Enumeration DateAugust 23, 2006

Last NPPES UpdateSeptember 10, 2007

✔ NPI 1669588372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code204C00000X

License✔ Licensed in MA · 54262

Definition

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/

4 FRANK LEARY WAY, Randolph, MA 02368

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Other Identifiers 3

Medicare UPINB99137MA

Medicare ID-Type UnspecifiedM21417MA

Medicaid9725288MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DR. RICHARD STUART ROSSMAN D.D.S.

Dentist (General Practice)

4 FRANK LEARY WAY, UNIT 1
RANDOLPH, MA 02368

Norfolk County (781) 963-7204

ARCH ORTHODONTICS PC

Dentist (Orthodontics and Dentofacial Orthopedics)