Individual provider Active NPI

Jennifer Buchanan, DPM

  • Podiatrist
  • Cambridge, MA
National Provider Identifier
1114214616
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2417 Issued in MA
Practice address
Cambridge Hospital
1493 Cambridge Street
Cambridge, MA 02139-2137
Phone
(617) 665-2555
Fax
(617) 665-3598
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2417 MA Primary

Addresses

Primary practice location

Cambridge Hospital
1493 Cambridge Street
Cambridge, MA 02139-2137

Mailing address

Cambridge Hospital
1493 Cambridge Street
Cambridge, MA 02139-2137
Phone (617) 665-2555

Other practice location 1

54 Baker Avenue Ext
Suite 103
Concord, MA 01742-2137
Phone (978) 369-5282

Other identifiers 1

IdentifierTypeStateIssuer
S400166574OtherMAPTAN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141003001992 MA Practitioner - Podiatry 8224258793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

391 Broadway
Suite 204
Everett, MA 02149-3471
Phone (617) 389-0045

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue228
Removal or shaving of skin growth34
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2417MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sandra M Weakland DPM,PC Podiatrist CurrentSince Sep 2, 2014 Accepting new patients
Cambridge Public Health Commission CurrentSince Feb 12, 2018 Accepting new patients
Cambridge Public Health Commission PastSince Feb 12, 2018 Accepting new patients

Locations

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

54 Baker Avenue Ext
Ste 103
Concord, MA 01742
Phone (978) 287-0800

54 Baker Avenue Ext
Ste 301
Concord, MA 01742
Phone (978) 369-4468

391 Broadway
Ste 204
Everett, MA 02149
Phone (617) 387-0473

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

1 Cabot Rd
Fl 2
Medford, MA 02155
Phone (617) 591-6840

Organizations & group practices 3

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 2

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": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1114214616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAMBRIDGE HOSPITAL",
            "address_2": "1493 CAMBRIDGE STREET",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392137",
            "telephone_number": "617-665-2555",
            "fax_number": "617-665-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAMBRIDGE HOSPITAL",
            "address_2": "1493 CAMBRIDGE STREET",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392137",
            "telephone_number": "617-665-2555",
            "fax_number": "617-665-3598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 Baker Avenue Ext",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017422137",
            "country_code": "US",
            "telephone_number": "978-369-5282",
            "fax_number": "978-369-2926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "S400166574",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.