Individual provider Active NPI

Goverdhan Lal Ohri, M.D.

  • Pediatrics Physician
  • Taunton, MA
National Provider Identifier
1861536260
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
53053 Issued in MA
Practice address
144 Cohannet St
Unit 1
Taunton, MA 02780-3908
Phone
(508) 824-8743
Fax
(508) 822-9306
NPI assigned
Feb 18, 2007
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 53053 MA Primary

Addresses

Primary practice location

144 Cohannet St
Unit 1
Taunton, MA 02780-3908

Mailing address

141 Winthrop St
Taunton, MA 02780-4530
Phone (508) 824-8743

Other identifiers 1

IdentifierTypeStateIssuer
6177123MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1861536260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 WINTHROP ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027804530",
            "telephone_number": "508-824-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 COHANNET ST",
            "address_2": "UNIT 1",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803908",
            "telephone_number": "508-824-8743",
            "fax_number": "508-822-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHRI",
        "first_name": "GOVERDHAN",
        "middle_name": "LAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "53053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6177123",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.