Active NPI
Greater Suburban Health Services
- Allergy & Immunology Physician
- Boston, MA
National Provider Identifier
1851595136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- GREATER SUBURBAN HEALTH SERVICES
- Practice address
- 750 Washington St
Nemc Box 30
Boston, MA 02111-1526 - Phone
- (617) 636-5333
- Fax
- (617) 633-4843
- NPI assigned
- Jun 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John L Ohman Jr., MD
- Title
- President
- Phone
- (508) 333-5200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary |
Addresses
Primary practice location
750 Washington St
Nemc Box 30
Boston, MA 02111-1526
Mailing address
21 Maplecrest Dr
Southborough, MA 01772-1243
Phone (508) 333-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2015528 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
750 Washington St
#90
Boston, MA 02111
Phone (617) 636-5333
750 Washington St
#30
Boston, MA 02111
Phone (617) 636-5333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Boston, MA
- NPI 1083723324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1851595136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MAPLECREST DR",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721243",
"telephone_number": "508-333-5200",
"fax_number": "508-624-6264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 WASHINGTON ST",
"address_2": "NEMC BOX 30",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111526",
"telephone_number": "617-636-5333",
"fax_number": "617-633-4843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER SUBURBAN HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OHMAN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-333-5200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2015528",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
- Greater Boston Chinese Golden Age Center, Inc.
- Greater Boston Chinese Golden Age Center, Inc.
- Greater Boston Chinese Golden Age Center, Inc.
- Greater Boston Guild for the Blind
- Greater Life at Home LLC
- Judith Ann Greathead, NURSE PRACTITIONER
- Jillian Marie Greaves, MS, RD, LDN
- Tamara Greaves, M.B.B.S
- Benjamin Grebber
- Ashley Maria Grebe, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.