Active NPI
Hedmed, LLC
Doing business as Passport Health
- Community Health Worker
- Newton, MA
National Provider Identifier
1902450406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- HEDMED, LLC
- Doing business as
- Passport Health
- Practice address
- 345 Boylston Street
Suite 202
Newton, MA 02459-2863 - Phone
- (877) 358-8648
- Fax
- (877) 877-6875
- NPI assigned
- Aug 1, 2019
- Last updated
- Aug 2, 2022
- 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
- Mr. Paul Fishburn
- Title
- Chief Operating Officer
- Phone
- (480) 646-9020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary |
Addresses
Primary practice location
345 Boylston Street
Suite 202
Newton, MA 02459-2863
Mailing address
668 N 44TH St
Suite 100W
Phoenix, AZ 85008-6507
Phone (877) 358-8648
Other names 1
- Passport Health
National Provider Directory
National Provider Directory- Tax ID family
- Passport Health Holdings LLC
Organizations with this tax ID in the same state 5
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Passport Health
- Public Health & General Preventive Medicine Physician
- Boston, MA
- NPI 1528593761
-
dba Passport Health
- Public Health & General Preventive Medicine Physician
- Quincy, MA
- NPI 1659912533
-
dba Passport Health
- Public Health & General Preventive Medicine Physician
- Woburn, MA
- NPI 1992121024
Locations
345 Boylston St
Ste 202
Newton, MA 02459
Phone (617) 490-0110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659398400000",
"number": "1902450406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 N 44TH ST",
"address_2": "SUITE 100W",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086507",
"telephone_number": "877-358-8648",
"fax_number": "877-877-6875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 BOYLSTON STREET",
"address_2": "SUITE 202",
"city": "NEWTON",
"state": "MA",
"postal_code": "024592863",
"telephone_number": "877-358-8648",
"fax_number": "877-877-6875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEDMED, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-01",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A",
"authorized_official_last_name": "FISHBURN",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "480-646-9020",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Passport Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Passport Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.