Organization Active NPI

Mt. Auburn Hospital Occ Health Services

  • Occupational Medicine Clinic/Center
  • Andover, MA
National Provider Identifier
1992955702
Registry record updated May 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
195017 Issued in MA
Legal business name
MT. AUBURN HOSPITAL OCC HEALTH SERVICES
Practice address
1 Burtt Rd
Andover, MA 01810-5901
Phone
(978) 247-2643
NPI assigned
Sep 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2024

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

Authorized official

Name
Brian Smith
Title
Cfo
Phone
(405) 245-6238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 195017 MA Primary

Addresses

Primary practice location

1 Burtt Rd
Andover, MA 01810-5901

Mailing address

725 Concord Ave Ste 301
Cambridge, MA 02138-1040

National Provider Directory

National Provider Directory
Tax ID family
Mt Auburn Hospital Occ Health Services10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Burtt Rd
Andover, MA 01810
Phone (978) 247-2311

725 Concord Ave
Ste 301
Cambridge, MA 02138

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714867200000",
    "number": "1992955702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CONCORD AVE STE 301",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BURTT RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018105901",
            "telephone_number": "978-247-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. AUBURN HOSPITAL OCC HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "405-245-6238"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "MA",
            "license": "195017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.