Organization Active NPI

David Elmer MD PC

  • Specialist
  • Hyannis, MA
National Provider Identifier
1073988242
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
56359 Issued in MA
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

Updated by the provider on Oct 12, 2018

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3032205MedicaidMA

National Provider Directory

National Provider Directory

Locations

25 Warren St
Randolph, MA 02368
Phone (781) 986-7800

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.