NPIMap

Organization Active NPI

Concord Sleep Associates LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Concord, MA
National Provider Identifier
1639318348
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MA216556 Issued in MA
Legal business name
CONCORD SLEEP ASSOCIATES LLC
Practice address
54 Baker Avenue Ext
Ste 301
Concord, MA 01742-2137
Phone
(857) 719-6556
NPI assigned
Feb 19, 2009
Last updated
Feb 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Dr. Terese Catherine Hammond, MD
Title
President
Phone
(857) 719-6556

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MA216556 MA
Pulmonary Disease Physician 207RP1001X MA216556 MA
Sleep Medicine (Internal Medicine) Physician 207RS0012X MA216556 MA Primary

Addresses

Primary practice location

54 Baker Avenue Ext
Ste 301
Concord, MA 01742-2137

Mailing address

PO Box 1571
Concord, MA 01742-6571
Phone (857) 719-6556

Other identifiers 1

IdentifierTypeStateIssuer
H85780MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1639318348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1571",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017426571",
            "telephone_number": "857-719-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT",
            "address_2": "STE 301",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422137",
            "telephone_number": "857-719-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD SLEEP ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "TERESE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "857-719-6556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "MA216556",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "MA216556",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MA",
            "license": "MA216556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H85780",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.