Steward Medical Group Express Care, Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

STEWARD MEDICAL GROUP EXPRESS CARE, INC

Practice address

500 Boylston St
Boston, MA 02116-3740

Phone

(617) 419-4700

NPI assigned

Apr 28, 2014

Organization subpart

Yes

Parent organization

STEWARD MEDICAL GROUP, INCAs reported in NPPES

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

Authorized official

Name

Dr. Michael Callum, MD

Title

President of Steward Medical Group

Phone

(617) 419-4718

Specialties & licenses 1

Addresses

Part of

Compass Medical PC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Steward Medical Group, Inc

  • Internal Medicine Physician
  • Dartmouth, MA
  • NPI 1821349317

  Member Of

  NPD member

Practitioners 1

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

• Stacy Lane Herman, PA

  • Physician Assistant
  • Brockton, MA
  • NPI 1457482895
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1962812149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163740",
            "telephone_number": "617-419-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163740",
            "telephone_number": "617-419-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWARD MEDICAL GROUP EXPRESS CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEWARD MEDICAL GROUP, INC",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "CALLUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT OF STEWARD MEDICAL GROUP",
        "authorized_official_telephone_number": "617-419-4718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiona Stevenson
• Kristin Alyssa Stevenson, CNP, RN
• Mary Ann Stevenson, M.D., PH.D.
• Ryan Lloyd Stevenson, M.D
• Alexandra B Steverson, MD/MPH
• Steward Medical Group, Inc
• Steward Medical Group, Inc
• Steward St. Elizabeth'S Medical Center of Boston, Inc.
• Steward St. Elizabeth'S Medical Center of Boston, Inc.
• Steward St. Elizabeth'S Medical Center of Boston, Inc.

• Emergency Medicine Physician in Boston, MA
• Providers in Boston, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.