NPIMap

Organization Active NPI

Beth Israel Deaconess Medical Center

  • Critical Access Hospital
  • Boston, MA
National Provider Identifier
1386739043
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
220783 Issued in MA
Legal business name
BETH ISRAEL DEACONESS MEDICAL CENTER
Practice address
110 Francis St
Suite 2G
Boston, MA 02215-5501
Phone
(617) 632-9929
Fax
(617) 632-9917
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christopher Cameron Baker, M.D.
Title
Chief, Trauma & Surgical Critical C
Phone
(617) 632-9929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 220783 MA Primary

Addresses

Primary practice location

110 Francis St
Suite 2G
Boston, MA 02215-5501

Mailing address

110 Francis St
Suite 2G
Boston, MA 02215-5501
Phone (617) 632-9929

Other identifiers 1

IdentifierTypeStateIssuer
2069270MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations

110 Francis St
Ste 2G
Boston, MA 02215
Phone (617) 632-9929

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386739043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FRANCIS ST",
            "address_2": "SUITE 2G",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155501",
            "telephone_number": "617-632-9929",
            "fax_number": "617-632-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FRANCIS ST",
            "address_2": "SUITE 2G",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155501",
            "telephone_number": "617-632-9929",
            "fax_number": "617-632-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ISRAEL DEACONESS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "CHIEF, TRAUMA & SURGICAL CRITICAL C",
        "authorized_official_telephone_number": "617-632-9929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MA",
            "license": "220783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2069270",
            "state": "MA"
        }
    ],
    "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 Aug 22, 2020; 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.