Active NPI
Associates in Neurology & Emg PC
- Neurology Physician
- Beverly, MA
National Provider Identifier
1952592610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 054179
- Legal business name
- ASSOCIATES IN NEUROLOGY & EMG PC
- Practice address
- 83 Herrick St
Suite 1001
Beverly, MA 01915-2153 - Phone
- (978) 921-1900
- Fax
- (978) 921-6694
- NPI assigned
- Aug 7, 2007
- 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
- David Allen Kolb, MD
- Title
- Neurologist
- Phone
- (978) 921-1900
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 054179 | MA | Primary |
Addresses
Primary practice location
83 Herrick St
Suite 1001
Beverly, MA 01915-2153
Mailing address
83 Herrick St
Suite 1001
Beverly, MA 01915-2753
Phone (978) 921-1900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M15209 | Other | MA | BCBS |
| 9763279 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Beverly, MA
- NPI 1104882695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195171200000",
"number": "1952592610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 HERRICK ST",
"address_2": "SUITE 1001",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019152753",
"telephone_number": "978-921-1900",
"fax_number": "978-921-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 HERRICK ST",
"address_2": "SUITE 1001",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019152153",
"telephone_number": "978-921-1900",
"fax_number": "978-921-6694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATES IN NEUROLOGY & EMG PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-07",
"last_updated": "2007-11-16",
"status": "A",
"authorized_official_last_name": "KOLB",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "NEUROLOGIST",
"authorized_official_telephone_number": "978-921-1900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "054179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M15209",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9763279",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.