Organization Active NPI

George L Barrett, M.D., P.C.

  • Specialist
  • Milton, MA
National Provider Identifier
1881689859
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
78403 Issued in MA
Legal business name
GEORGE L BARRETT, M.D., P.C.
Practice address
100 Highland St
Suite 101
Milton, MA 02186-3881
Phone
(617) 696-0082
Fax
(617) 696-1933
NPI assigned
Sep 15, 2005
Last updated
Oct 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
George L Barrett, M.D.,P.C.NPI 1659549590
Title
President
Phone
(617) 696-0082

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)CodeLicenseStatePrimary
Specialist 174400000X 78403 MA Primary

Addresses

Primary practice location

100 Highland St
Suite 101
Milton, MA 02186-3881

Mailing address

100 Highland St
Suite 101
Milton, MA 02186-3881
Phone (617) 696-0082

Other identifiers 1

IdentifierTypeStateIssuer
3076890MedicaidMA

National Provider Directory

National Provider Directory

Locations

100 Highland St
Ste 101
Milton, MA 02186
Phone (617) 696-0082

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1881689859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST",
            "address_2": "SUITE 101",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863881",
            "telephone_number": "617-696-0082",
            "fax_number": "617-696-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST",
            "address_2": "SUITE 101",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863881",
            "telephone_number": "617-696-0082",
            "fax_number": "617-696-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE L BARRETT, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-696-0082",
        "authorized_official_credential": "M.D.,P.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "78403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076890",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.