Active NPI
A Jerome Philbin, M.D.
- Orthopaedic Surgery Physician
- Worcester, MA
National Provider Identifier
1992747976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 37149
- Practice address
- 281 Lincoln St
Worcester, MA 01605-2138 - Phone
- (508) 757-1431
- Fax
- (508) 334-8154
- NPI assigned
- Jun 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 37149 | MA | Primary |
Addresses
Primary practice location
281 Lincoln St
Worcester, MA 01605-2138
Mailing address
PO Box 2200
Amherst, NH 03031-4200
Phone (603) 673-9411
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006313 | Other | MA | NEIGHBORHOOD HEALTH |
| 2067986 | Medicaid | MA | |
| 4710 | Other | MA | FALLON COMMUNITY HEALTH |
| 711123 | Other | MA | TUFTS HEALTH PLAN |
| N01757 | Other | MA | BLUE CROSS BLUE SHIELD |
| 171035 | Other | MA | HARVARD PILGRIM |
| 352460 | Other | MA | CENTRAL MA HEALTH CARE |
| 98795501 | Other | MA | NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37149 | MA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992747976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2200",
"city": "AMHERST",
"state": "NH",
"postal_code": "030314200",
"telephone_number": "603-673-9411",
"fax_number": "603-673-9899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052138",
"telephone_number": "508-757-1431",
"fax_number": "508-334-8154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILBIN",
"first_name": "A",
"middle_name": "JEROME",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "37149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0006313",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2067986",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "4710",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "711123",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "N01757",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "171035",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CENTRAL MA HEALTH CARE",
"identifier": "352460",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK",
"identifier": "98795501",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.