NPIMap

Organization Active NPI

Evans Geriatric Section of Evans

  • Geriatric Medicine (Internal Medicine) Physician
  • Boston, MA
National Provider Identifier
1235533324
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
EVANS GERIATRIC SECTION OF EVANS
Practice address
88 East Newton St
Boston, MA 02118
Phone
(617) 638-8383
NPI assigned
Oct 17, 2014
Organization subpart
Yes
Parent organization
FACULTY PRACTICE FOUNDATION INC EVANS MEDICAL FOUNDATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
David L. Coleman, M.D.
Title
President
Phone
(617) 638-7254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

88 East Newton St
Boston, MA 02118

Mailing address

720 Harrison Ave
Dob 503
Boston, MA 02118
Phone (617) 414-5405

National Provider Directory

National Provider Directory
Part of
Boston Medical Center

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1235533324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HARRISON AVE",
            "address_2": "DOB 503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-414-5405",
            "fax_number": "617-414-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 EAST NEWTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-638-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS GERIATRIC SECTION OF EVANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FACULTY PRACTICE FOUNDATION INC EVANS MEDICAL FOUNDATION INC",
        "enumeration_date": "2014-10-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-638-7254",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.