NPIMap

Organization Active NPI

Clipper Cardiovascular Associates, Inc

Doing business as dba Clipper Cardiovascular Associates

  • Cardiovascular Disease Physician
  • Newburyport, MA
National Provider Identifier
1174512727
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CLIPPER CARDIOVASCULAR ASSOCIATES, INC
Doing business as
dba Clipper Cardiovascular Associates
Practice address
112A Parker St
Newburyport, MA 01950-4008
Phone
(978) 462-1110
Fax
(978) 462-3889
NPI assigned
Oct 17, 2005
Last updated
Apr 27, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
CLIPPER CARDIOVASCULAR ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Mr. William T Johnson
Title
Vice President
Phone
(804) 237-7760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

112A Parker St
Newburyport, MA 01950-4008

Mailing address

112A Parker St
Newburyport, MA 01950-4008
Phone (878) 462-1110

Other names 1

  • dba Clipper Cardiovascular Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Wentworth Douglass Hospital

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

55 High St
Ste 203
Hampton, NH 03842
Phone (603) 758-1155

200 Griffin Rd
Ste 12A
Portsmouth, NH 03801
Phone (603) 457-7040

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1174512727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112A PARKER ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504008",
            "telephone_number": "878-462-1110",
            "fax_number": "978-462-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112A PARKER ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504008",
            "telephone_number": "978-462-1110",
            "fax_number": "978-462-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIPPER CARDIOVASCULAR ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLIPPER CARDIOVASCULAR ASSOCIATES",
        "enumeration_date": "2005-10-17",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "804-237-7760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Clipper Cardiovascular Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.