Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifeguard Medical Group, LLC

Organization Emergency Medicine Physician · NPI 1548436538

Lifeguard Medical Group, LLC is an Emergency Medicine Physician in Chilmark, Massachusetts. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

45 Blue Barque Rd
Chilmark, MA 02535-2706
Phone: (508) 696-6863
Fax: (508) 696-6864
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1548436538
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Zack — Manager · (401) 419-3826
NPI enumeratedApril 30, 2008
Last updated in NPPESMay 10, 2022
Certification dateMay 10, 2022
Mailing addressPo Box 1356, Oak Bluffs, MA 02557-1356