NPIMap

Organization Active NPI

Urgent Care at Chisholm-Demertine Clinic

  • General Practice Physician
  • Boston, MA
National Provider Identifier
1780945121
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
76898 Issued in MA
Legal business name
URGENT CARE AT CHISHOLM-DEMERTINE CLINIC
Practice address
581 Boylston St
Suite 801
Boston, MA 02116-3608
Phone
(617) 247-1400
Fax
(617) 247-1401
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
J. Marcel-St-Louis Demertine, M.D.
Title
Doctor
Phone
(617) 247-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X 76898 MA Primary

Addresses

Primary practice location

581 Boylston St
Suite 801
Boston, MA 02116-3608

Mailing address

581 Boylston St
Suite 801
Boston, MA 02116-3608
Phone (617) 247-1400

National Provider Directory

National Provider Directory

Locations

581 Boylston St
Ste 801
Boston, MA 02116
Phone (617) 247-1400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1780945121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 BOYLSTON ST",
            "address_2": "SUITE 801",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163608",
            "telephone_number": "617-247-1400",
            "fax_number": "617-247-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 BOYLSTON ST",
            "address_2": "SUITE 801",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163608",
            "telephone_number": "617-247-1400",
            "fax_number": "617-247-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE AT CHISHOLM-DEMERTINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "DEMERTINE",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "MARCEL-ST-LOUIS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "617-247-1400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MA",
            "license": "76898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.