Organization Active NPI

Associates in Neurology & Emg PC

  • Neurology Physician
  • Beverly, MA
National Provider Identifier
1952592610
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
054179 Issued in MA
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

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
David Allen Kolb, MDNPI 1104882695
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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
M15209OtherMABCBS
9763279MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.