Active NPI
Edwin Stuart Palmer, M.D.
- Pediatrics Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 273869
- Practice address
- 300 Longwood Ave
Boston, MA 02115 - Phone
- (617) 355-6000
- NPI assigned
- Apr 3, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-12-9171 | OH | |
| Internal Medicine Physician | 207R00000X | 74462 | MT | |
| Internal Medicine Physician | 207R00000X | 273869 | MA | |
| Pediatrics Physician | 208000000X | 273869 | MA | Primary |
Addresses
Primary practice location
300 Longwood Ave
Boston, MA 02115
Mailing address
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000
Other practice location 1
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Other practice location 2
234 Goodman St
Cincinnati, OH 45219-2364
Phone (513) 584-7425
Other practice location 3
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-6000
Other practice location 4
6 13th Ave E
Polson, MT 59860-5315
Phone (406) 883-5680
Other practice location 5
310 Sunnyview Ln
Kalispell, MT 59901-3199
Phone (406) 758-7036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, MT, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence St Joseph Medical Center
Practice addresses (Care Compare)
401 Castle Creek Rd
Aspen, CO 81611-1159
Phone (970) 925-1120
6 13TH Ave E
Polson, MT 59860-5315
Phone (406) 883-5377
Hospital & facility affiliations
- Aspen Valley Hospital District
- Providence St Joseph Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74462 | MT | MD | Internal Medicine Physician |
| 273869 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CG Medical Associates Inc | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Internal Medicine | Current | Accepting new patients |
| Aspen Valley Hospital District | Current | Accepting new patients | |
| Providence St Joseph Medical Center | Current | Accepting new patients | |
| Credena Health LLC | Current | Accepting new patients | |
| Providence St Joseph Medical Center | Current | Accepting new patients | |
| Children'S Hospital Pediatric Associates, Inc | Pediatrics | Current | Accepting new patients |
| Aspen Valley Hospital District | Current | Accepting new patients | |
| Aspen Valley Hospital District | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients |
Locations
401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
75 Francis St
Boston, MA 02115
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310
6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377
63351 US Highway 93
Ronan, MT 59864
Phone (406) 676-5680
2131 Gateway Dr
Fairborn, OH 45324
Phone (937) 873-9500
846 State Route 28
Milford, OH 45150
Phone (513) 831-8555
Interoperability endpoints
- epalmer33023@direct.bostonchildrens.org
Organizations & group practices 10
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.
-
- Critical Access Hospital
- Aspen, CO
- NPI 1518960814
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
- Pediatrics Physician
- Boston, MA
- NPI 1457306664
-
- Family Medicine Physician
- Polson, MT
- NPI 1669655528
-
- Critical Access Hospital
- Polson, MT
- NPI 1821184888
-
- Clinic/Center
- Snowmass Village, CO
- NPI 1710942495
-
- Durable Medical Equipment & Medical Supplies
- Aspen, CO
- NPI 1942357363
-
- Urgent Care Clinic/Center
- Cincinnati, OH
- NPI 1982903951
-
- Community/Retail Pharmacy
- Polson, MT
- NPI 1164809778
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Aspen, CO
- NPI 1518960814
-
- Durable Medical Equipment & Medical Supplies
- Aspen, CO
- NPI 1942357363
Hospital
-
- Critical Access Hospital
- Polson, MT
- NPI 1821184888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1922426113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-355-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-355-6000"
}
],
"practiceLocations": [
{
"address_1": "75 Francis St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156110",
"country_code": "US",
"telephone_number": "617-732-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "234 Goodman St",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452192364",
"country_code": "US",
"telephone_number": "513-584-7425",
"fax_number": "513-584-7681",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Longwood Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02115",
"country_code": "US",
"telephone_number": "617-355-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 13th Ave E",
"address_purpose": "LOCATION",
"city": "Polson",
"state": "MT",
"postal_code": "598605315",
"country_code": "US",
"telephone_number": "406-883-5680",
"fax_number": "406-883-8910",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 Sunnyview Ln",
"address_purpose": "LOCATION",
"city": "Kalispell",
"state": "MT",
"postal_code": "599013199",
"country_code": "US",
"telephone_number": "406-758-7036",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMER",
"first_name": "EDWIN",
"middle_name": "STUART",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-03",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-12-9171",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MT",
"license": "74462",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "273869",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "273869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.