John Joseph Cloherty, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

150879 Issued in MA

Practice address

1400 VFW Pkwy
Emergency Department
West Roxbury, MA 02132-4927

Phone

(617) 323-7700

Fax

(857) 203-5645

NPI assigned

Sep 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609970193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 E 6TH ST APT 19",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021274341",
            "telephone_number": "617-269-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VFW PKWY",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324927",
            "telephone_number": "617-323-7700",
            "fax_number": "857-203-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOHERTY",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "150879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "J17245",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "39-00216",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3176291",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seema Chowdhury, MD
• Kysa Christie, PHD
• Donna A Ciaccia, RN
• Kylee Brooke Clark, MS-SLP
• Elana Clayman, CCC-SLP
• Linda Cohen
• Abraham Mark Colb, M.D.
• Marion Beatrice Cole
• Zoe H Cole, OTR/L
• Isabel Coll, BS

• Emergency Medicine Physician in West Roxbury, MA
• Providers in West Roxbury, 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 Jul 8, 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.