NPIMap

Organization Active NPI

Steward Medical Group, Inc

  • Ambulatory Surgical Clinic/Center
  • Brockton, MA
National Provider Identifier
1962881078
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
STEWARD MEDICAL GROUP, INC
Practice address
1 Pearl St
Suite 1800
Brockton, MA 02301-2864
Phone
(508) 588-3174
NPI assigned
May 21, 2015
Organization subpart
Yes
Parent organization
STEWARD HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Dr. George Clairmont, MD
Title
President of SMG
Phone
(617) 419-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X MA Primary

Addresses

Primary practice location

1 Pearl St
Suite 1800
Brockton, MA 02301-2864

Mailing address

500 Boylston St
Boston, MA 02116-3740
Phone (617) 419-4700

Other names 1

  • Endoscopy Center of Southeast Mass Other name

National Provider Directory

National Provider Directory
Tax ID family
Compass Medical PC60 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

1 Pearl St
Ste 1800
Brockton, MA 02301
Phone (508) 586-9327

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1962881078",
    "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": "1 PEARL ST",
            "address_2": "SUITE 1800",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012864",
            "telephone_number": "508-588-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWARD MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEWARD HEALTHCARE, LLC",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "CLAIRMONT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT OF SMG",
        "authorized_official_telephone_number": "617-419-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endoscopy Center of Southeast Mass",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.