Evolvd Health

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EVOLVD HEALTH

Practice address

85 Brainerd Rd Apt 108
Boston, MA 02134-4529

Phone

(610) 442-6552

NPI assigned

Dec 1, 2019

Last updated

Dec 1, 2019By 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

Dr. Shady Henien, MD

Title

Chief Medical Officer

Phone

(610) 442-6552

Specialties & licenses 1

Addresses

Other names 1

• Evolvd Health Former legal business name

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

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575158400000",
    "number": "1487291100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BRAINERD RD APT 108",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021344529",
            "telephone_number": "610-442-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BRAINERD RD APT 108",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021344529",
            "telephone_number": "610-442-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVD HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-01",
        "last_updated": "2019-12-01",
        "status": "A",
        "authorized_official_last_name": "HENIEN",
        "authorized_official_first_name": "SHADY",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "610-442-6552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolvd Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Internal Medicine Physician in Boston, MA
• Providers in Boston, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; 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.