Active NPI
David P Chodirker MD
Doing business as dba Family Care Associates
- Family Medicine Physician
- Wellesley, MA
National Provider Identifier
1427094234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 74617
- Legal business name
- DAVID P CHODIRKER MD
- Doing business as
- dba Family Care Associates
- Practice address
- 173 Worcester Street
Wellesley, MA 02481-5521 - Phone
- (781) 235-7900
- Fax
- (781) 237-9930
- NPI assigned
- Jun 21, 2006
- Last updated
- Jun 25, 2008
- Organization subpart
- Yes
- Parent organization
- DAVID P CHODIRKER MD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David P Chodirker, MD
- Title
- Physician Sole Proprietor
- Phone
- (781) 235-7900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 74617 | MA | Primary |
Addresses
Primary practice location
173 Worcester Street
Wellesley, MA 02481-5521
Mailing address
173 Worcester Street
Wellesley, MA 02481-5521
Phone (781) 235-7900
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4199853 | Other | AETNA US HEALTHCARE | |
| 487784800 | Other | US DEPT OF LABOR WORKERS | |
| 1972504504 | Other | NPI NUMBER | |
| 0452115 | Other | AETNA US HEALTHCARE HMO | |
| 34586 | Other | FALLON COMMUNITY HP | |
| 71194 | Other | HPHC | |
| J11610 | Other | BCBS | |
| 0103579 | Other | CIGNA | |
| 3084884 | Medicaid | MA | |
| 74617 | Other | MEDICAL LICENSE | |
| 074617 | Other | TUFTS | |
| M18640 | Other | BCBS |
Other names 1
- dba Family Care Associates
National Provider Directory
National Provider Directory- Part of
- David P Chodirker MD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Needham, MA
- NPI 1972504504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1427094234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 WORCESTER STREET",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024815521",
"telephone_number": "781-235-7900",
"fax_number": "781-237-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 WORCESTER STREET",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024815521",
"telephone_number": "781-235-7900",
"fax_number": "781-237-9930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID P CHODIRKER MD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DAVID P CHODIRKER MD",
"enumeration_date": "2006-06-21",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "CHODIRKER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PHYSICIAN SOLE PROPRIETOR",
"authorized_official_telephone_number": "781-235-7900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MA",
"license": "74617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "4199853",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR WORKERS",
"identifier": "487784800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1972504504",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE HMO",
"identifier": "0452115",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HP",
"identifier": "34586",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "71194",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J11610",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0103579",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3084884",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "74617",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "074617",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M18640",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "dba Family Care Associates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.