Active NPI
Peter R Maggs, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Cambridge, MA
National Provider Identifier
1821077637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 35787
- Practice address
- 300 Mount Auburn St
Suite 510
Cambridge, MA 02138-5600 - Phone
- (978) 658-5577
- Fax
- (978) 658-5587
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 35787 | MA | Primary |
Addresses
Primary practice location
300 Mount Auburn St
Suite 510
Cambridge, MA 02138-5600
Mailing address
300 Mount Auburn St
Suite 510
Cambridge, MA 02138-5600
Phone (978) 658-5577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130257 | 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 |
|---|---|---|---|
| 35787 | MA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821077637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MOUNT AUBURN ST",
"address_2": "SUITE 510",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385600",
"telephone_number": "978-658-5577",
"fax_number": "978-658-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MOUNT AUBURN ST",
"address_2": "SUITE 510",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385600",
"telephone_number": "978-658-5577",
"fax_number": "978-658-5587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGGS",
"first_name": "PETER",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MA",
"license": "35787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130257",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.