Greater Boston Gastroenterolgy, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GREATER BOSTON GASTROENTEROLGY, PC

Practice address

475 Franklin St
Suite 110
Framingham, MA 01702-6264

Phone

(508) 620-9200

Fax

(508) 620-6483

NPI assigned

Mar 31, 2011

Last updated

Mar 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Baker

Title

Office Manager

Phone

(508) 620-9200

Specialties & licenses 1

Addresses

Other identifiers 7

Tax ID family

Steven N Fine MD PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Greater Boston Gastroenterology

  • Ambulatory Surgical Clinic/Center
  • Framingham, MA
  • NPI 1003721911
  NPD tax ID
• Greater Boston Gastroenterology

  • Anatomic Pathology & Clinical Pathology Physician
  • Framingham, MA
  • NPI 1417384959
  NPD tax ID

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1366731291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 FRANKLIN ST",
            "address_2": "SUITE 110",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026264",
            "telephone_number": "508-620-9200",
            "fax_number": "508-620-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 FRANKLIN ST",
            "address_2": "SUITE 110",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026264",
            "telephone_number": "508-620-9200",
            "fax_number": "508-620-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BOSTON GASTROENTEROLGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-620-9200"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9738487",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3663248",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "92401",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DB5286",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "637393",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE / PTAN",
            "identifier": "M21436",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M17578",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dejah Gray
• Jessica Gray
• Lauren Gray
• Wendy Elizabeth Gray, M.D.
• Greater Boston Dermatology PC
• Greater Boston Gastroenterology
• Greater Boston Gastroenterology
• Greater Boston Gastroenterology
• Greater Boston Urology, LLC
• Green Hill Counseling PLLC

• Gastroenterology Physician in Framingham, MA
• Providers in Framingham, MA by specialty
• Gastroenterology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.