NPIMap

Organization Active NPI

Massachusetts General Hospital Physicians Organization

  • Emergency Care Clinic/Center
  • Chestnut Hill, MA
National Provider Identifier
1831566132
Registry record updated Aug 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
204391 Issued in MA
Legal business name
MASSACHUSETTS GENERAL HOSPITAL PHYSICIANS ORGANIZATION
Practice address
249 Beverly Rd
Chestnut Hill, MA 02467-3158
Phone
(617) 327-2903
NPI assigned
Aug 22, 2015
Last updated
Aug 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2015

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

Authorized official

Name
Alexandra Kimball
Title
Medical Director
Phone
(617) 726-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 204391 MA Primary
Children's Hospital 282NC2000X 204391 MA

Addresses

Primary practice location

249 Beverly Rd
Chestnut Hill, MA 02467-3158

Mailing address

249 Beverly Rd
Chestnut Hill, MA 02467-3158

Other identifiers 1

IdentifierTypeStateIssuer
3207391MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Edwin Lee Carter MD15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1440201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440201600000",
    "number": "1831566132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 BEVERLY RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 BEVERLY RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673158",
            "telephone_number": "617-327-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS GENERAL HOSPITAL PHYSICIANS ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-22",
        "last_updated": "2015-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "617-726-2000"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "MA",
            "license": "204391",
            "primary": true
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "MA",
            "license": "204391",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3207391",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2015; 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.