Provider Demographics
NPI:1184712010
Name:HEMMING, JASON M (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:M
Last Name:HEMMING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 PARK WAY
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-6278
Mailing Address - Country:US
Mailing Address - Phone:978-521-3235
Mailing Address - Fax:978-521-3236
Practice Address - Street 1:1 PARK WAY
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6278
Practice Address - Country:US
Practice Address - Phone:978-521-3235
Practice Address - Fax:978-521-3236
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA230212207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1184712010OtherANTHEM
MA3313842OtherCIGNA
MA0592888OtherNEIGHBORHOOD HEALTH PLAN
MA1184712010OtherBCBS
MA1184712010OtherFALLON COMMUNITY HEALTH PLAN
NH30209313Medicaid
MA1184712010OtherBOSTON MEDICAL CENTER
MA754812OtherTUFTS
MA94461101OtherNETWORK HEALTH
MA9586474OtherAETNA NON HMO
MA110084663AMedicaid
MA1184712010OtherEVERCARE
MA1184712010OtherAETNA
MAAA175770OtherHPHC
MA1184712010OtherEVERCARE