OrganizationActive
Lifeguard Medical Group, LLC
NPI 1548436538 · Emergency Medicine Physician · Chilmark, MA
Provider details
- NPI number
- 1548436538
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Zack, Manager(401) 419-3826
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
45 Blue Barque Rd
Chilmark, MA 02535-2706
Phone: (508) 696-6863
Fax: (508) 696-6864
Street-level locationGet directions
Mailing address
Po Box 1356
Oak Bluffs, MA 02557-1356
Registry dates
- Enumerated
- 2008-04-30
- Last updated
- 2022-05-10
- Certified
- 2022-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.