Active NPI
Emily McCoy Bouley, M.D.
- Anesthesiology Physician
- Concord, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 282590
- Practice address
- 133 Old Road to 9 Acre Cor
Concord, MA 01742-4159 - Phone
- (978) 287-3162
- NPI assigned
- Jul 2, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LP03533 | RI | |
| Anesthesiology Physician | 207L00000X | 282590 | MA | Primary |
Addresses
Primary practice location
133 Old Road to 9 Acre Cor
Concord, MA 01742-4159
Mailing address
133 Old Road to 9 Acre Cor
Concord, MA 01742-4159
Phone (401) 456-2000
Other practice location 1
825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2000
Other practice location 2
600 Worcester Rd Ste 301
Framingham, MA 01702-5316
Phone (508) 665-4344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Massachusetts Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-8480
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP03533 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerson Practice Associates II, Inc. | Current | Accepting new patients |
Locations
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Concord, MA
- NPI 1427383645
-
- Anesthesiology Physician
- Norwood, MA
- NPI 1700061652
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614470400000",
"number": "1881077378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 OLD ROAD TO 9 ACRE COR",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424159",
"telephone_number": "401-456-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 OLD ROAD TO 9 ACRE COR",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424159",
"telephone_number": "978-287-3162"
}
],
"practiceLocations": [
{
"address_1": "825 Chalkstone Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029084728",
"country_code": "US",
"telephone_number": "401-456-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Worcester Rd Ste 301",
"address_purpose": "LOCATION",
"city": "Framingham",
"state": "MA",
"postal_code": "017025316",
"country_code": "US",
"telephone_number": "508-665-4344",
"fax_number": "508-655-4355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOULEY",
"first_name": "EMILY",
"middle_name": "MCCOY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-02",
"last_updated": "2021-02-28",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP03533",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "282590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.