Active NPI
Cecilia Larson, MD
- Endocrinology, Diabetes & Metabolism Physician
- Needham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 76286
- Practice address
- 148 Chestnut St
Joslin Clinic
Needham, MA 02492-2505 - Phone
- (781) 453-5231
- Fax
- (781) 453-3654
- NPI assigned
- Oct 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 76286 | MA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 76286 | MA | Primary |
Addresses
Primary practice location
148 Chestnut St
Joslin Clinic
Needham, MA 02492-2505
Mailing address
105 Overbrook Dr
Wellesley, MA 02482-1044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76286 | Other | MA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Winchester Physician Associates, Inc | Internal Medicine | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Winchester Physician Associates | Internal Medicine | Past | Accepting new patients |
Locations
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
203 Main St
North Reading, MA 01864
Phone (978) 664-1990
92 Montvale Ave
Ste 3675
Stoneham, MA 02180
Phone (781) 438-1800
Organizations & group practices 4
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.
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Internal Medicine Physician
- Winchester, MA
- NPI 1184606865
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Internal Medicine Physician
- North Reading, MA
- NPI 1215919931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1366539934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 OVERBROOK DR",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024821044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 CHESTNUT ST",
"address_2": "JOSLIN CLINIC",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922505",
"telephone_number": "781-453-5231",
"fax_number": "781-453-3654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "CECILIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "76286",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MA",
"license": "76286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "76286",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.