Active NPI
Theodore J King, MD
- Pulmonary Disease Physician
- Palmer, MA
National Provider Identifier
1912932195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 56940
- Practice address
- 40 Wright St
Palmer, MA 01069-1138 - Phone
- (413) 284-5400
- Fax
- (413) 284-5559
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 56940 | MA | Primary |
Addresses
Primary practice location
40 Wright St
Palmer, MA 01069-1138
Mailing address
40 Wright St
Palmer, MA 01069-1138
Phone (413) 283-7651
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4802321 | Other | UNITED HEALTH CARE | |
| 998296 | Other | NETWORK HEALTH | |
| 23713 | Other | HARVARD PILGRIM | |
| N51575 | Other | MA | BLUE CROSS BLUE SHIELD |
| 35217834 | Other | CIGNA | |
| 056940 | Other | TUFTS COMMUNITY HEALTH PL | |
| 35217834 | Other | HEALTHSOURCE CMHC | |
| 1843219002 | Other | CIGNA | |
| 2057743 | Medicaid | MA | |
| 290013485 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56940 | MA | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1912932195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WRIGHT ST",
"city": "PALMER",
"state": "MA",
"postal_code": "010691138",
"telephone_number": "413-283-7651",
"fax_number": "413-284-5117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 WRIGHT ST",
"city": "PALMER",
"state": "MA",
"postal_code": "010691138",
"telephone_number": "413-284-5400",
"fax_number": "413-284-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "THEODORE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "56940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "4802321",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "998296",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "23713",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "N51575",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "35217834",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS COMMUNITY HEALTH PL",
"identifier": "056940",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE CMHC",
"identifier": "35217834",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1843219002",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2057743",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "290013485",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Palmer, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.