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DR. JEREMY GOVERMAN MD NPI 1902896087


NPI Information

NPI: 1902896087
Provider Name: DR. JEREMY GOVERMAN, MD
Classification: Surgery - 2086S0102X
Entity Type: Individual

Specialization: Surgical Critical Care

PECOS Registration: Yes

Address:
55 FRUIT ST
GRAY BIGELOW 1302
BOSTON, MA
ZIP 02114
Phone: (617) 726-3712
Get Directions

DR. Jeremy Goverman, MD is a surgical critical care surgery in Boston, MA with 24 years of experience. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Jeremy Goverman, MD NPI is 1902896087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 FRUIT ST
GRAY BIGELOW 1302
BOSTON, MA
ZIP 02114-696
Phone: (617) 726-3712
Fax: (617) 367-8936

The NPI 1902896087 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from wounds per session (HCPCS:97597)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)

The enumeration date for this NPI number is 10/28/2005 and was last updated on 4/23/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic Surgery223980MASSACHUSETTSNo
2208600000XSurgery223980MASSACHUSETTSNo
32086S0102XSurgerySurgical Critical Care223980MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A3986201MEDICARE PINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.