NPIMap

Organization Active NPI

Janice Cleveland Washburn, MD, PC

  • Procedural Dermatology Physician
  • Wellesley, MA
National Provider Identifier
1467472399
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
76066 Issued in MA
Legal business name
JANICE CLEVELAND WASHBURN, MD, PC
Practice address
386 Washington St
Wellesley, MA 02481-6213
Phone
(781) 235-1533
Fax
(781) 235-1156
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Amy G Boland
Title
Operations Manager
Phone
(781) 235-1533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X 76066 MA Primary

Addresses

Primary practice location

386 Washington St
Wellesley, MA 02481-6213

Mailing address

386 Washington St
Wellesley, MA 02481-6213
Phone (781) 235-1533

Other identifiers 5

IdentifierTypeStateIssuer
M18998OtherMABLUE CROSS GROUP NUMBER
4252491OtherMAAETNA PROVIDER #
77861OtherMAHCVM/CCN
076066OtherMATUFTS PROVIDER NUMBER
401030NEMCOtherMAHARVARD PILGRIM PROVIDER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1467472399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816213",
            "telephone_number": "781-235-1533",
            "fax_number": "781-235-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816213",
            "telephone_number": "781-235-1533",
            "fax_number": "781-235-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE CLEVELAND WASHBURN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "781-235-1533"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MA",
            "license": "76066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "M18998",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4252491",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCVM/CCN",
            "identifier": "77861",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER NUMBER",
            "identifier": "076066",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM PROVIDER",
            "identifier": "401030NEMC",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 24, 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.