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Contact Information

EMERALD PHYSICIAN SERVICES, LLC
433 W MAIN ST
HYANNIS, MA02601
 Phone: 508-778-4777
 Fax: 508-771-9555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for EMERALD PHYSICIAN SERVICES, LLC

NPI # 1952443244
LBN Legal business name EMERALD PHYSICIAN SERVICES, LLC
Authorized official MICHAEL CONNORS - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2007
Last updated 08/08/2018 - About 8 years ago
Identifiers
MA Medicaid 9787208
Other CH1554 RR MEDICARE GROUP NUMBER
MA Other 2520242 AETNA GROUP NUMBER
MA Other M16587 BLUE CROSS GROUP NUMBER
MA Other 685025 TUFTS INS. GROUP NUMBER
MA Other 685025 USFHP GROUP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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