Individual provider Active NPI

Steven Herson, MD

  • Cardiovascular Disease Physician
  • Concord, MA
National Provider Identifier
1356390066
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA40582 Issued in MA
Practice address
2284 Main St
Concord, MA 01742-3829
Phone
(978) 369-5575
Fax
(978) 371-9189
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA40582 MA Primary

Addresses

Primary practice location

2284 Main St
Concord, MA 01742-3829

Mailing address

2284 Main St
Concord, MA 01742-3829
Phone (978) 369-5575

Other identifiers 1

IdentifierTypeStateIssuer
2056348MedicaidMA

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

LicenseStateTypeSpecialty
MA40582MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Ekg Associates Cardiovascular Disease Past Accepting new patients
Emerson Hospital Past Accepting new patients
Compassionate Care Associates Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1356390066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2284 MAIN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423829",
            "telephone_number": "978-369-5575",
            "fax_number": "978-371-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 MAIN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423829",
            "telephone_number": "978-369-5575",
            "fax_number": "978-371-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSON",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "MA40582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2056348",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.