Active NPI
Stephen M. Desio, M.D., P.C.
- Specialist
- Worcester, MA
National Provider Identifier
1760406441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 80965
- Legal business name
- STEPHEN M. DESIO, M.D., P.C.
- Practice address
- 123 Summer St
Suite 520
Worcester, MA 01608-1216 - Phone
- (508) 363-6363
- Fax
- (508) 363-6366
- NPI assigned
- Jul 27, 2006
- 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
- Dr. Stephen M. Desio, M.D.
- Title
- President
- Phone
- (508) 363-6363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 80965 | MA | Primary |
Addresses
Primary practice location
123 Summer St
Suite 520
Worcester, MA 01608-1216
Mailing address
23A Castle Rd
Northborough, MA 01532-1248
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M21433 | Other | MA | PTAN |
| 9729411 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
123 Summer St
Ste 520
Worcester, MA 01608
Phone (508) 363-6361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423699200000",
"number": "1760406441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23A CASTLE RD",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015321248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"address_2": "SUITE 520",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081216",
"telephone_number": "508-363-6363",
"fax_number": "508-363-6366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN M. DESIO, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2015-02-12",
"status": "A",
"authorized_official_last_name": "DESIO",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-363-6363",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MA",
"license": "80965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "M21433",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9729411",
"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 Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.