Active NPI
Beth A Buyea, PA
- Physician Assistant
- Boston, MA
National Provider Identifier
1508908542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2301
- Practice address
- 800 Huntington Ave
Boston, MA 02115 - Phone
- (857) 307-2200
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001245 | CT | |
| Physician Assistant | 363A00000X | PA2301 | MA | Primary |
Addresses
Primary practice location
800 Huntington Ave
Boston, MA 02115
Mailing address
375 Boylston St
Brookline, MA 02445-6007
Other practice location 1
6 Main St
Durham, CT 06422
Phone (860) 349-1058
Other practice location 2
6 Main St
Durham, CT 06422
Phone (860) 349-1058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001245 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MHS Primary Care Inc | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1508908542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 BOYLSTON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024456007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HUNTINGTON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "857-307-2200"
}
],
"practiceLocations": [
{
"address_1": "6 Main St",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "CT",
"postal_code": "06422",
"country_code": "US",
"telephone_number": "860-349-1058",
"fax_number": "860-349-0764",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 Main St",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "CT",
"postal_code": "06422",
"country_code": "US",
"telephone_number": "860-349-1058",
"fax_number": "860-349-0764",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUYEA",
"first_name": "BETH",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "001245",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA2301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.