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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | 47606 | MASSACHUSETTS | No |
| 2 | 207R00000X | Internal Medicine | | 6918 | NEW HAMPSHIRE | No |
| 3 | 207RC0000X | Internal Medicine | Cardiovascular Disease | 47606 | MASSACHUSETTS | Yes |
| 4 | 207RC0000X | Internal Medicine | Cardiovascular Disease | 6918 | NEW HAMPSHIRE | No |
| 5 | 207RC0000X | Internal Medicine | Cardiovascular Disease | 219160 | MASSACHUSETTS | No |
| 6 | 207RC0000X | Internal Medicine | Cardiovascular Disease | 12239 | NEW HAMPSHIRE | No |
| 7 | 207UN0901X | Nuclear Medicine | Nuclear Cardiology | 6918 | NEW HAMPSHIRE | No |
| 8 | 207UN0901X | Nuclear Medicine | Nuclear Cardiology | 47606 | MASSACHUSETTS | No |
| 9 | 207UN0901X | Nuclear Medicine | Nuclear Cardiology | 219160 | MASSACHUSETTS | No |
| 10 | 207UN0901X | Nuclear Medicine | Nuclear Cardiology | 12239 | NEW HAMPSHIRE | No |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 004527 | OTHER | MASSACHUSETTS | SEN WHOLE HEALTH |
| 2 | AA4043 | OTHER | MASSACHUSETTS | HARVARD PILGRIM |
| 3 | J26980 | OTHER | MASSACHUSETTS | BCBS MA |
| 4 | 0028798 | OTHER | MASSACHUSETTS | CIGNA |
| 5 | 0033222 | OTHER | MASSACHUSETTS | NEIGHBORHOOD |
| 6 | 01Y008405MA02 | OTHER | MASSACHUSETTS | BCBS ANTHEM |
| 7 | 468564 | OTHER | MASSACHUSETTS | TUFTS |
| 8 | 82960 | OTHER | MASSACHUSETTS | AETNA/USHEALTHCARE |
| 9 | 97247401 | OTHER | MASSACHUSETTS | NETWORK |
| 10 | 0037930 | OTHER | MASSACHUSETTS | NEIGHBORHOOD |
| 11 | 2042177 | MEDICAID | MASSACHUSETTS | |
| 12 | 2110812 | OTHER | MASSACHUSETTS | UNITED HEALTHCARE |
| 13 | 645420 | OTHER | MASSACHUSETTS | TUFTS |
| 14 | 3472834 | OTHER | MASSACHUSETTS | AETNA/USHEALTHCARE |
| 15 | 0100061YPMA01 | OTHER | MASSACHUSETTS | BCBS ANTHEM |
| 16 | 110014512 | OTHER | MASSACHUSETTS | RRMCARE |
| 17 | 30008110 | MEDICAID | NEW HAMPSHIRE | |
| 18 | 97556101 | OTHER | MASSACHUSETTS | NETWORK |
| 19 | J03594 | OTHER | MASSACHUSETTS | BCBS MA |
| 20 | 3556 | OTHER | MASSACHUSETTS | HARVARD PILGRIM |
| 21 | 64110 | OTHER | NEW HAMPSHIRE | CIGNA NH |
| 22 | CURT113057 | OTHER | MASSACHUSETTS | BCBS ANTHEM |
| 23 | 00286420-002 | OTHER | MASSACHUSETTS | UNITED HEALTHCARE |
| 24 | 14399 | OTHER | MASSACHUSETTS | FALLON |
| 25 | 150760099 | MEDICAID | MAINE | |
| 26 | 3091899 | MEDICAID | MASSACHUSETTS | |
| 27 | 59926 | OTHER | MASSACHUSETTS | FALLON |
| 28 | 6411 | OTHER | NEW HAMPSHIRE | CIGNA NH |
| 29 | 76462 | OTHER | MASSACHUSETTS | COSTCARE |
| 30 | A66332 | OTHER | MASSACHUSETTS | EVERCARE |
| 31 | 0006021 | OTHER | MASSACHUSETTS | NEIGHBORHOOD |
| 32 | 004550 | OTHER | MASSACHUSETTS | SEN WHOLE HEALTH |
| 33 | 221036 | OTHER | MASSACHUSETTS | CIGNA |
| 34 | 30205651 | MEDICAID | NEW HAMPSHIRE | |
| 35 | 705896 | OTHER | MASSACHUSETTS | TUFTS |
| 36 | H33858 | OTHER | MASSACHUSETTS | EVERCARE |
