Active NPI
Amanda V McLain, MD
- Internal Medicine Physician
- Newton, MA
National Provider Identifier
1215183736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 237471
- Practice address
- 29 Craft St
Suite 2100
Newton, MA 02458 - Phone
- (617) 964-7530
- NPI assigned
- Aug 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 237471 | MA | Primary |
Addresses
Primary practice location
29 Craft St
Suite 2100
Newton, MA 02458
Mailing address
77 Warren St
Room 339
Brighton, MA 02135
Phone (617) 562-5359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237248000000",
"number": "1215183736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 WARREN ST",
"address_2": "ROOM 339",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "02135",
"telephone_number": "617-562-5359",
"fax_number": "617-562-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 CRAFT ST",
"address_2": "SUITE 2100",
"city": "NEWTON",
"state": "MA",
"postal_code": "02458",
"telephone_number": "617-964-7530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAIN",
"first_name": "AMANDA",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-15",
"last_updated": "2009-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "237471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.