Ed Physicians of Quincy

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

ED PHYSICIANS OF QUINCY

Practice address

114 Whitwell St
Quincy, MA 02169-1870

Phone

(617) 376-4018

Fax

(617) 376-1609

NPI assigned

Nov 30, 2007

Organization subpart

Yes

Parent organization

QUINCY MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Victoria Divaio Bush

Title

Director Physician Services

Phone

(617) 376-4018

Specialties & licenses 1

Addresses

Tax ID family

ER Physicians at Quincy2 organizations share this tax ID, including this one

Part of

ER Physicians at Quincy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Quincy Medical Center

  • Rehabilitation Hospital Unit
  • Quincy, MA
  • NPI 1104841634
  NPD tax ID

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1578745683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WHITWELL ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691870",
            "telephone_number": "617-376-4018",
            "fax_number": "617-376-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WHITWELL ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691870",
            "telephone_number": "617-376-4018",
            "fax_number": "617-376-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ED PHYSICIANS OF QUINCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUINCY MEDICAL CENTER",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "DIVAIO",
        "authorized_official_title_or_position": "DIRECTOR PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "617-376-4018"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Dyer, BS
• James Gray Dyer, MDIV
• Natalie Irene Dyment, ATC, CSCS
• Johanna Leigh Earle
• Meghan Earle, MA MHC
• Eric Russell Edelman, P.T.
• Tharsilla Ulin Edwards, LPN
• Karl Leonard Ehrens, M.D.
• Matthew Eidukinas, LICSW, ACSW
• Kenneth Einstein, M.D.

• Emergency Medicine Physician in Quincy, MA
• Providers in Quincy, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.