Active NPI
Mark Shapiro, M.D.
- Gastroenterology Physician
- Cambridge, MA
National Provider Identifier
1437281300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 153871
- Practice address
- 87 Cambridge Park Drive
Wyeth Research, Clinical R&D
Cambridge, MA 02140 - Phone
- (617) 665-7190
- NPI assigned
- Mar 9, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 153871 | MA | Primary |
Addresses
Primary practice location
87 Cambridge Park Drive
Wyeth Research, Clinical R&D
Cambridge, MA 02140
Mailing address
10 Rogers St
Apartment 621
Cambridge, MA 02142-1246
Phone (617) 665-7190
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153871 | MA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437281300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ROGERS ST",
"address_2": "APARTMENT 621",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021421246",
"telephone_number": "617-665-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 CAMBRIDGE PARK DRIVE",
"address_2": "WYETH RESEARCH, CLINICAL R&D",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02140",
"telephone_number": "617-665-7190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "153871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.