Active NPI
David Wayne Harrison, MD
- Pediatrics Physician
- Everett, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 216239
- Practice address
- 19 Norwood St
Everett, MA 02149-2709 - Phone
- (617) 394-7500
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 216239 | MA | |
| Pediatrics Physician | 208000000X | 216239 | MA | Primary |
Addresses
Primary practice location
19 Norwood St
Everett, MA 02149-2709
Mailing address
5 Arlington St
Winchester, MA 01890-3701
Phone (857) 334-0884
Other practice location 1
5 Arlington St
Winchester, MA 01890-3701
Phone (857) 334-0884
Other practice location 2
501 Folsom St
San Francisco, CA 94105-3174
Phone (844) 847-8216
Other practice location 3
201 California St Ste 1300
San Francisco, CA 94111-5015
Phone (844) 847-8216
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J28526 | Other | MA | BCBS MA |
| 468008 | Other | MA | TUFTS HEALTH PLAN |
| 2100134 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Harvard Medical School, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Everett Ave
Chelsea, MA 02150-2309
Phone (617) 887-4600
55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000
Hospital & facility affiliations
- Mass General Brigham Home Care, Inc
- Massachusetts General Hospital
- North Shore Medical Center -
- Melrosewakefield Healthcare
- Spaulding Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216239 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Emerson Hospital | Past | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
75 Francis St
Boston, MA 02115
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
19 Norwood St
Ste 21
Everett, MA 02149
19 Norwood St
Everett, MA 02149
Phone (617) 388-7500
1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000
275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000
Interoperability endpoints
- harrison.david.mgh@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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Internal Medicine
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newton, MA
- NPI 1083644017
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1790775369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 ARLINGTON ST",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018903701",
"telephone_number": "857-334-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 NORWOOD ST",
"city": "EVERETT",
"state": "MA",
"postal_code": "021492709",
"telephone_number": "617-394-7500"
}
],
"practiceLocations": [
{
"address_1": "5 Arlington St",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "MA",
"postal_code": "018903701",
"country_code": "US",
"telephone_number": "857-334-0884",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Folsom St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941053174",
"country_code": "US",
"telephone_number": "844-847-8216",
"fax_number": "415-520-9150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 California St Ste 1300",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941115015",
"country_code": "US",
"telephone_number": "844-847-8216",
"fax_number": "415-520-9150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRISON",
"first_name": "DAVID",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "216239",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "216239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J28526",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "468008",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2100134",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.