Active NPI
David Elmer MD PC
- Specialist
- Hyannis, MA
National Provider Identifier
1073988242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 56359
- Legal business name
- DAVID ELMER MD PC
- Practice address
- 60A Park St
Hyannis, MA 02601-5231 - Phone
- (508) 771-4100
- Fax
- (508) 771-4117
- NPI assigned
- Dec 14, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David B Elmer, M.D.
- Title
- President
- Phone
- (508) 771-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 56359 | MA | Primary |
Addresses
Primary practice location
60A Park St
Hyannis, MA 02601-5231
Mailing address
60A Park St
Hyannis, MA 02601-5231
Phone (508) 771-4100
Other practice location 1
505 Bedford St
Bridgewater, MA 02324-3117
Phone (508) 697-8666
Other practice location 2
25 Warren St
Randolph, MA 02368-4015
Phone (781) 986-7900
Other practice location 3
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3032205 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
25 Warren St
Randolph, MA 02368
Phone (781) 986-7800
Interoperability endpoints
- https://api.platform.athenahealth.com/12427/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539302400000",
"number": "1073988242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60A PARK ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026015231",
"telephone_number": "508-771-4100",
"fax_number": "508-771-4117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60A PARK ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026015231",
"telephone_number": "508-771-4100",
"fax_number": "508-771-4117"
}
],
"practiceLocations": [
{
"address_1": "505 Bedford St",
"address_purpose": "LOCATION",
"city": "Bridgewater",
"state": "MA",
"postal_code": "023243117",
"country_code": "US",
"telephone_number": "508-697-8666",
"fax_number": "508-279-2950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Warren St",
"address_purpose": "LOCATION",
"city": "Randolph",
"state": "MA",
"postal_code": "023684015",
"country_code": "US",
"telephone_number": "781-986-7900",
"fax_number": "781-976-5656",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "680 Centre St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023023308",
"country_code": "US",
"telephone_number": "508-941-7885",
"fax_number": "508-941-6337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DAVID ELMER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-14",
"last_updated": "2018-10-12",
"status": "A",
"authorized_official_last_name": "ELMER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-771-4100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "MA",
"license": "56359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3032205",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.