David Parker Faxon, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

37416 Issued in MA

Practice address

1620 Tremont St
Obc-3-12P
Roxbury Crossing, MA 02120-1613

Phone

(617) 525-8358

NPI assigned

Sep 20, 2006

Last updated

Oct 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1770681017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 TREMONT ST",
            "address_2": "OBC-3-12J",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021201613",
            "telephone_number": "617-525-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 TREMONT ST",
            "address_2": "OBC-3-12P",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021201613",
            "telephone_number": "617-525-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAXON",
        "first_name": "DAVID",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "37416",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "37416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Caroline Drinker, OTR L
• Lucianaga Renee Edwards
• Eric J. Woodard, MD PC
• Katherine Elizabeth Esau, PHARMD
• Family Intervention Team Fit LLC
• Lauren M Flanagan, MSPT
• Frank F Rand MD
• Rosangela Fuentes
• Carol Genereux, NP
• Erin Colleen Gillespie, MSPT

• Cardiovascular Disease Physician in Roxbury Crossing, MA
• Providers in Roxbury Crossing, MA by specialty
• Cardiovascular Disease Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.