NPIMap

Individual provider Active NPI

Julie Parker Haviland, PA-C

  • Surgical Physician Assistant
  • Hingham, MA
National Provider Identifier
1679873350
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA 4079 Issued in MA
Practice address
2 Pond Park Rd.
Ste. 102
Hingham, MA 02043-4309
Phone
(781) 337-5555
Fax
(781) 331-0300
NPI assigned
Oct 27, 2010
Last updated
Oct 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA 4079 MA Primary

Addresses

Primary practice location

2 Pond Park Rd.
Ste. 102
Hingham, MA 02043-4309

Mailing address

2 Pond Park Rd.
Ste. 102
Hingham, MA 02043-4309
Phone (781) 337-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120000849 MA Practitioner - Physician Assistant 8628257888 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 4079MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Orthopedics LLC CurrentSince Nov 1, 2010 Accepting new patients
Newton Wellesley Hospital Current Accepting new patients
Umass Memorial Medical Group Inc Past Accepting new patients

Locations

2 Pond Park Rd
Ste 102
Hingham, MA 02043
Phone (781) 337-5555

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

Interoperability endpoints

  • Direct secure messaging: haviland.julie.nwh@direct.partners.masshiway.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1679873350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 POND PARK RD.",
            "address_2": "STE. 102",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434309",
            "telephone_number": "781-337-5555",
            "fax_number": "781-331-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 POND PARK RD.",
            "address_2": "STE. 102",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434309",
            "telephone_number": "781-337-5555",
            "fax_number": "781-331-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVILAND",
        "first_name": "JULIE",
        "middle_name": "PARKER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA 4079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.