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LIFEGUARD MEDICAL GROUP,LLC
NPI 1750795084
Emergency Medicine in Oak Bluffs, MA

Active since June 14, 2014
72 EASTVILLE AVE, OAK BLUFFS, MA 02557(508) 696-6863 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifeguard Medical Group,llc NPPES

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

LIFEGUARD MEDICAL GROUP,LLC (NPI 1750795084) is a healthcare organization registered as an emergency medicine in Oak Bluffs, Massachusetts and active in the NPI registry since June 2014. The organization lists Jeffrey Robert Zack, Owner, as its authorized official.

NPPES Registry Identity

NPI1750795084
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameLIFEGUARD MEDICAL GROUP,LLC
Location Address72 EASTVILLE AVEOak Bluffs, MA 02557
Mailing AddressPo Box 1356Oak Bluffs, MA 02557-1356
Phone(508) 696-6863
Organization SubpartNo
Authorized OfficialJeffrey Robert ZackOwner · (508) 696-6863
Enumeration DateJune 14, 2014
Last NPPES UpdateJune 26, 2014
✔ NPI 1750795084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 213570
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
72 EASTVILLE AVE, Oak Bluffs, MA 02557
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Other Identifiers 2

Medicaid3093018MA
Medicare UPINH20262MA

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

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 Lifeguard Medical Group,llc's NPI number?

The NPI number for Lifeguard Medical Group,llc is 1750795084. It was assigned to this organization in the NPPES registry on June 14, 2014.

Where is Lifeguard Medical Group,llc located?

Lifeguard Medical Group,llc is located at 72 Eastville Ave, Oak Bluffs, MA 02557. The listed phone number is (508) 696-6863.

What is Lifeguard Medical Group,llc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Lifeguard Medical Group,llc was last updated on June 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.