Active NPI
Child Heart Associates, LLC
- Pediatric Cardiology Physician
- Worcester, MA
National Provider Identifier
1700876380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- Legal business name
- CHILD HEART ASSOCIATES, LLC
- Practice address
- 33 Oak Ave
Worcester, MA 01605-2752 - Phone
- (508) 757-7300
- Fax
- (800) 757-0803
- NPI assigned
- Oct 25, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lars Erickson III, MD
- Title
- Managing Member
- Phone
- (508) 757-7300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | MA | Primary |
Addresses
Primary practice location
33 Oak Ave
Worcester, MA 01605-2752
Mailing address
33 Oak Ave
Worcester, MA 01605-2752
Phone (508) 757-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9748661 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
235 Plain St
Ste 301
Providence, RI 02905
Phone (401) 421-4186
Interoperability endpoints
- https://api.platform.athenahealth.com/13760/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Cardiology Physician
- Worcester, MA
- NPI 1790861748
-
- Adult Congenital Heart Disease Physician
- Boston, MA
- NPI 1962469932
-
- Pediatric Cardiology Physician
- Chicago, IL
- NPI 1801912621
-
- Pediatric Cardiology Physician
- Providence, RI
- NPI 1619908621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1700876380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 OAK AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052752",
"telephone_number": "508-757-7300",
"fax_number": "800-757-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 OAK AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052752",
"telephone_number": "508-757-7300",
"fax_number": "800-757-0803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD HEART ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-25",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ERICKSON",
"authorized_official_first_name": "LARS",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "508-757-7300",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9748661",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.