Individual provider Active NPI

Christine Dailey Hirsemann, M.D.

  • Obstetrics & Gynecology Physician
  • S Weymouth, MA
National Provider Identifier
1053414136
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
230529 Issued in MA
Practice address
90 Libbey Parkway
Suite 105
S Weymouth, MA 02189
Phone
(339) 201-4120
Fax
(781) 545-8117
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 042333 CT
Obstetrics & Gynecology Physician 207V00000X 230529 MA Primary

Addresses

Primary practice location

90 Libbey Parkway
Suite 105
S Weymouth, MA 02189

Mailing address

PO Box 188
S Weymouth, MA 02190
Phone (339) 201-4120

Other identifiers 1

IdentifierTypeStateIssuer
001423334MedicaidCT

Other names 1

  • Christine Dailey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070512000034 MA Practitioner - Obstetrics/Gynecology 7012987316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Massachusetts Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

850 Boylston St
Chestnut Hill, MA 02467-2477
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women'S Hospital Current Accepting new patients
Brigham & Womens Physicians Organization Inc Obstetrics & Gynecology CurrentSince May 1, 2023 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc PastSince Mar 1, 2007 Accepting new patients
Coastal Medical Associates Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

850 Boylston St
Ste 530
Chestnut Hill, MA 02467
Phone (617) 278-0500

850 Boylston St
Chestnut Hill, MA 02467
Phone (617) 732-5773

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

Interoperability endpoints

  • Direct secure messaging: hirsemann.christine.bwh@direct.partners.masshiway.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1053414136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "02190",
            "telephone_number": "339-201-4120",
            "fax_number": "781-545-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LIBBEY PARKWAY",
            "address_2": "SUITE 105",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "02189",
            "telephone_number": "339-201-4120",
            "fax_number": "781-545-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSEMANN",
        "first_name": "CHRISTINE",
        "middle_name": "DAILEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "042333",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "230529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001423334",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "DAILEY",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in S Weymouth, MA

Sources for this page

Verify at the official NPI Registry.