NPIMap

Organization Active NPI

Neary & Hunter OB/GYN LLC

  • Specialist
  • Worcester, MA
National Provider Identifier
1275737967
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40319 Issued in MA
Legal business name
NEARY & HUNTER OB/GYN LLC
Practice address
67 Belmont St
Suite 104
Worcester, MA 01605-2657
Phone
(508) 752-1491
Fax
(508) 752-8192
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Todd W Hunter, M.D.NPI 1356305353
Title
Managing Partner
Phone
(508) 752-1491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 40319 MA Primary

Addresses

Primary practice location

67 Belmont St
Suite 104
Worcester, MA 01605-2657

Mailing address

67 Belmont St
Suite 104
Worcester, MA 01605-2657
Phone (508) 752-1491

Other identifiers 5

IdentifierTypeStateIssuer
49463OtherMAFALLON GROUP NUMBER
68323OtherMACIGNA GROUP NUMBER
9702211MedicaidMA
685829OtherMATUFTS GROUP NUMBER
M17608OtherMABCBS GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050607000752 MA Part B Supplier - Clinic/Group Practice 3577506906 Receives reassigned benefits from 5 practitioners
Practice locations: Worcester, MA

National Provider Directory

National Provider Directory

Locations

67 Belmont St
Ste 104
Worcester, MA 01605
Phone (508) 752-1491

67 Belmont St
Ste 101
Worcester, MA 01605
Phone (508) 752-1491

Practitioners & affiliated clinicians

Practitioners 5

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": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1275737967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BELMONT ST",
            "address_2": "SUITE 104",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052657",
            "telephone_number": "508-752-1491",
            "fax_number": "508-752-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BELMONT ST",
            "address_2": "SUITE 104",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052657",
            "telephone_number": "508-752-1491",
            "fax_number": "508-752-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEARY & HUNTER OB/GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "508-752-1491",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "40319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON GROUP NUMBER",
            "identifier": "49463",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP NUMBER",
            "identifier": "68323",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9702211",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP NUMBER",
            "identifier": "685829",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "M17608",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.