The Commonwealth of Massachusetts

Primary specialty

Chronic Disease HospitalTaxonomy code 281P00000X

Legal business name

THE COMMONWEALTH OF MASSACHUSETTS

Doing business as

Lemuel Shattuck Hospital

Practice address

170 Morton St
Jamaica Plain, MA 02130-3735

Phone

(617) 522-8110

NPI assigned

Oct 31, 2006

Last updated

Dec 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Micheal Donovan

Title

Chief Financial Officer

Phone

(617) 971-3234

Specialties & licenses 1

Addresses

Other names 1

• Lemuel Shattuck Hospital Doing business as

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1457437378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MORTON ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303735",
            "telephone_number": "617-522-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MORTON ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303735",
            "telephone_number": "617-522-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMONWEALTH OF MASSACHUSETTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "617-971-3234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lemuel Shattuck Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina Terenzi, DMD
• Payal Thakkar, DDS
• The Commonwealth of Massachusetts (Sexually Transmitted Infections (STI) Laboratory)
• The Commonwealth of Massachusetts (Lemuel Shattuck Hospital)
• The Commonwealth of Massachusetts (Lemuel Shattuck Hospital)
• The Commonwealth of Massachusetts (Lemuel Shattuck Hospital)
• The Commonwealth of Massachusetts (Lemuel Shattuck Hospital)
• The Commonwealth of Massachusetts (Massachusetts Department of Public Health)
• The Home for Little Wanderers
• The Therapy Room

• Chronic Disease Hospital in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Chronic Disease Hospital in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.