Active NPI
Stephen Kieran
- Pediatric Otolaryngology Physician
- Boston, MA
National Provider Identifier
1376843268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- 234467
- Practice address
- 300 Longwood Ave
Department of Otolaryngology Chidlren'S Hospital Boston
Boston, MA 02115 - Phone
- (617) 355-5064
- Fax
- (617) 730-0611
- NPI assigned
- Oct 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | 234467 | MA | Primary |
Addresses
Primary practice location
300 Longwood Ave
Department of Otolaryngology Chidlren'S Hospital Boston
Boston, MA 02115
Mailing address
6 Craigmore Gardens
Blackrock, CO.DUBLIN 00000
IE
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234467 | MA | MD | Pediatric Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1376843268",
"addresses": [
{
"country_code": "IE",
"country_name": "Ireland",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "6 CRAIGMORE GARDENS",
"city": "BLACKROCK",
"state": "CO.DUBLIN",
"postal_code": "00000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"address_2": "DEPARTMENT OF OTOLARYNGOLOGY CHIDLREN'S HOSPITAL BOSTON",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-355-5064",
"fax_number": "617-730-0611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIERAN",
"first_name": "STEPHEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-26",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "MA",
"license": "234467",
"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 Jun 13, 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.