Organization Active NPI

MHG Physician Services - Michigan PLLC

  • General Practice Physician
  • Boston, MA
National Provider Identifier
1013789262
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MHG PHYSICIAN SERVICES - MICHIGAN PLLC
Practice address
500 Harrison Ave
Boston, MA 02118-2439
Phone
(855) 340-4663
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eliza Shulman, MD
Title
Member
Phone
(855) 340-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

500 Harrison Ave
Boston, MA 02118-2439

Mailing address

500 Harrison Ave
Boston, MA 02118-2439
Phone (855) 340-4663

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1013789262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HARRISON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182439",
            "telephone_number": "855-340-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HARRISON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182439",
            "telephone_number": "855-340-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHG PHYSICIAN SERVICES - MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-22",
        "status": "A",
        "authorized_official_last_name": "SHULMAN",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "855-340-4663",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.