Active NPI
James R Everett, M.D.
- Hematology & Oncology Physician
- Weymouth, MA
National Provider Identifier
1215911789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 33778
- Practice address
- 51 Performance Dr
Suite 110
Weymouth, MA 02189-3141 - Phone
- (781) 337-9091
- Fax
- (781) 331-6355
- NPI assigned
- Nov 30, 2005
- Last updated
- Jan 21, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 33778 | MA | Primary |
Addresses
Primary practice location
51 Performance Dr
Suite 110
Weymouth, MA 02189-3141
Mailing address
10 Willard St
Quincy, MA 02169-1281
Phone (617) 479-1452
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 706885 | Other | MA | TUFTS HEALTH CARE |
| B20150301 | Other | MA | CIGNA |
| 14010 | Other | MA | HARVARD PILGRIM |
| 2047039 | Medicaid | MA | |
| 0084904 | Other | MA | AETNA US HEALTH |
| J23017 | Other | MA | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33778 | MA | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1215911789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WILLARD ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691281",
"telephone_number": "617-479-1452",
"fax_number": "617-479-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 PERFORMANCE DR",
"address_2": "SUITE 110",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893141",
"telephone_number": "781-337-9091",
"fax_number": "781-331-6355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT",
"first_name": "JAMES",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MA",
"license": "33778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH CARE",
"identifier": "706885",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "B20150301",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "14010",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2047039",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTH",
"identifier": "0084904",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J23017",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.