Organization Active NPI

Joseph L Sirois III M.D. Inc.

  • Specialist
  • Norwood, MA
National Provider Identifier
1609070101
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
59259 Issued in MA
Legal business name
JOSEPH L SIROIS III M.D. INC.
Practice address
24 Guild St
Norwood, MA 02062-3425
Phone
(781) 762-0500
Fax
(781) 762-0140
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Dr. Joseph L Sirois III, M.D.NPI 1841283942
Title
Physician
Phone
(781) 762-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 59259 MA Primary

Addresses

Primary practice location

24 Guild St
Norwood, MA 02062-3425

Mailing address

24 Guild St
Norwood, MA 02062-3425
Phone (781) 762-0500

Other identifiers 7

IdentifierTypeStateIssuer
059259OtherMATUFTS HEALTH PLAN
24242OtherMAAETNA
M15053OtherMABLUE CROSS BLUE SHIELD
17387OtherMAHARVARD PILGRIM HEALTH CARE
9764291MedicaidMA
0904937OtherMAUNITED HEALTH CARE
B20909801OtherMACIGNA

National Provider Directory

National Provider Directory

Locations

24 Guild St
Norwood, MA 02062
Phone (617) 762-4330

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": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1609070101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GUILD ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623425",
            "telephone_number": "781-762-0500",
            "fax_number": "781-762-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GUILD ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623425",
            "telephone_number": "781-762-0500",
            "fax_number": "781-762-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH L SIROIS III M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "SIROIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "781-762-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "59259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "059259",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "24242",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M15053",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CARE",
            "identifier": "17387",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9764291",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0904937",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "B20909801",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.