Active NPI
Edward L Hoder, M.D.
- Pediatrics Physician
- Burlington, MA
National Provider Identifier
1801872916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 60217
- Practice address
- 20 Wall St
Harvard Vangard Medical Associates
Burlington, MA 01803-4758 - Phone
- (781) 221-2800
- Fax
- (781) 221-2680
- NPI assigned
- Dec 20, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 60217 | MA | Primary |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 60217 | MA |
Addresses
Primary practice location
20 Wall St
Harvard Vangard Medical Associates
Burlington, MA 01803-4758
Mailing address
147 Milk St
9TH Floor - Harvard Vangard Medical Associates
Boston, MA 02109-4806
Phone (617) 559-8239
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0873965 | Other | MA | CIGNA |
| 12-04572 | Other | MA | UNITED HEALTHCARE |
| 722650 | Other | MA | TUFTS |
| J07891 | Other | MA | BLUE CROSS |
| 3547313 | Other | MA | AETNA |
| 0003778 | Other | MA | NEIGHBORHOOD HEALTH |
| AA8202 | Other | MA | HARVARD PILGRIM |
| 3040020 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60217 | MA | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1801872916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 MILK ST",
"address_2": "9TH FLOOR - HARVARD VANGARD MEDICAL ASSOCIATES",
"city": "BOSTON",
"state": "MA",
"postal_code": "021094806",
"telephone_number": "617-559-8239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WALL ST",
"address_2": "HARVARD VANGARD MEDICAL ASSOCIATES",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034758",
"telephone_number": "781-221-2800",
"fax_number": "781-221-2680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODER",
"first_name": "EDWARD",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "60217",
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MA",
"license": "60217",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0873965",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "12-04572",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "722650",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J07891",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3547313",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0003778",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA8202",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3040020",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.