FAULKNER EMERGENCY ASSOCIATES PC NPI 1558422055

NPI Information

  • NPI: 1558422055
  • Provider Name: FAULKNER EMERGENCY ASSOCIATES, PC
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Organization
  • Address: 1153 CENTRE ST
    JAMAICA PLAIN, MA
    ZIP 02130
  • Phone: (617) 983-7132

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NPI Details

FAULKNER EMERGENCY ASSOCIATES, PC is an emergency medical services emergency medicine in Jamaica Plain, MA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. FAULKNER EMERGENCY ASSOCIATES, PC NPI is 1558422055. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1153 CENTRE ST
JAMAICA PLAIN, MA
ZIP 02130-446
Phone: (617) 983-7132
Fax: (617) 983-7834

The provider's authorized official is Richard Larson .
The authorized official title is President and has the following contact phone number (617) 983-7132.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 8/22/2020.

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
1207PE0004XEmergency MedicineEmergency Medical ServicesYes

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
19783466MEDICAIDMASSACHUSETTS
2M16935OTHERMASSACHUSETTSBLUE SHIELD

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: 3/30/2025

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