Individual provider Active NPI

Michael E Higgins Sr., C.O.A. 00118

  • Orthopedic Assistant
  • Malden, MA
National Provider Identifier
1427431030
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic AssistantTaxonomy code 246ZX2200X
License
C.O.A.00118 Issued in MA
Practice address
250 Kennedy Dr
Apt.405
Malden, MA 02148-3326
Phone
(617) 861-1562
NPI assigned
Jun 30, 2015
Last updated
Jun 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Assistant 246ZX2200X C.O.A.00118 MA Primary

Addresses

Primary practice location

250 Kennedy Dr
Apt.405
Malden, MA 02148-3326

Mailing address

250 Kennedy Dr
Apt.405
Malden, MA 02148-3326
Phone (617) 861-1562

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C.O.A.00118MAMDOrthopedic Assistant

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1427431030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 KENNEDY DR",
            "address_2": "APT.405",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483326",
            "telephone_number": "617-861-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 KENNEDY DR",
            "address_2": "APT.405",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483326",
            "telephone_number": "617-861-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_suffix": "Sr.",
        "credential": "C.O.A. 00118",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": "MA",
            "license": "C.O.A.00118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.