MEDICARE: NORTH QUABBIN FAMILY PHYSICIANS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457302721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH QUABBIN FAMILY PHYSICIANS, PC

Provider Business Mailing Address
First Line	:	201 S MAIN ST
Second Line	:
City	:	ATHOL
State	:	MA
Zip	:	01331-2102
Country	:	US
Telephone Number	:	978-249-0099
Fax Number	:	978-249-7227

Provider Business Practice Location Address
First Line	:	201 S MAIN ST
Second Line	:
City	:	ATHOL
State	:	MA
Zip	:	01331-2102
Country	:	US
Telephone Number	:	978-249-0099
Fax Number	:	978-249-7227

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	TIMOTHY E SOULE-REGINE
Credential	:	M.D.
Telephone Number	:	978-249-0099

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1508864760 — MARY M DJAFERIS F.N.P.
Practice Location Address:

201 S MAIN ST
ATHOL, MA
01331-2102

Practice Phone: 978-249-0099
Practice Fax: 978-249-7227

1225036486 — KRISTIN A MCCARTHY F.N.P
Practice Location Address:

201 S MAIN ST
ATHOL, MA
01331-2102

Practice Phone: 978-249-0099
Practice Fax: 978-249-7227

1982340410 — SHIELDS IMAGING AT HEYWOOD HEALTHCARE LLC
Practice Location Address:

2033 MAIN ST
ATHOL, MA
01331-3535

Practice Phone: 800-258-4674
Practice Fax:

1588664247 — TIMOTHY E SOULE-REGINE MD
Practice Location Address:

201 S MAIN ST , STE 1
ATHOL, MA
01331-2117

Practice Phone: 978-248-3840
Practice Fax: 978-249-7227

1649266214 — QUABBIN VALLEY CONVALESCENT CENTER,INC.
Practice Location Address:

821 DANIEL SHAYS HWY
ATHOL, MA
01331-9609

Practice Phone: 978-249-3717
Practice Fax: 978-249-7700

1144216946 — OSAMA A. AL-MASRI M.D.
Practice Location Address:

80 MECHANIC ST , 1:4
ATHOL, MA
01331-3534

Practice Phone: 978-249-5668
Practice Fax: 978-249-5669

Directions to “NORTH QUABBIN FAMILY PHYSICIANS, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.