CNV SHC LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

CNV SHC LLC

Practice address

31 Pine St Ste 204
Norfolk, MA 02056-1680

Phone

(617) 739-7100

NPI assigned

Feb 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Derya Bora Hazar, MD,MBR

Title

Senior Partner

Phone

(617) 739-2100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1902265879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PINE ST STE 204",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561680",
            "telephone_number": "617-739-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PINE ST STE 204",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561680",
            "telephone_number": "617-739-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNV SHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "HAZAR",
        "authorized_official_first_name": "DERYA",
        "authorized_official_middle_name": "BORA",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "617-739-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,MBR"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Coates Chipman, RN
• Karen Clark, R.N.
• CNV Bidco LLC
• CNV Cape Cod LLC
• CNV MW
• James H. Collins Jr., D.M.D.
• Erin Corriea
• Elizabeth Craig
• Jean A Croll, OTR/L
• Shannon Cullagh, PT

• Nephrology Physician in Norfolk, MA
• Providers in Norfolk, MA by specialty
• Nephrology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.