Paul a Church MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

57851 Issued in MA

Legal business name

PAUL A CHURCH MD PC

Practice address

1153 Centre St
Suite 5930
Jamaica Plain, MA 02130-3446

Phone

(617) 983-7019

Fax

(617) 983-7533

NPI assigned

Nov 5, 2015

Organization subpart

No

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

Authorized official

Name

Paul A Church, M.D.

Title

Owner

Phone

(617) 983-7019

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Harry Cahan, M.D.

  • Nephrology Physician
  • Jamaica Plain, MA
  • NPI 1396814414
  NPD (past)

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1154794741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "SUITE 5930",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-983-7019",
            "fax_number": "617-983-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "SUITE 5930",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-983-7019",
            "fax_number": "617-983-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A CHURCH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-983-7019",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MA",
            "license": "57851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Elizabeth Parmar, PA-C
• Melissa Jean Parsons
• Tiffany Pasqua, OD
• Alexandra Patch, MS
• Hema Patel
• Joshua S Paulson
• Peace of Mind Home Health Care
• Peace of Mind Medical Supply
• Peak Performance Chiropractic Rehabilitation Inc.
• Amy Pearlman, LICSW

• Urology Physician in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Urology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.