MT AUBURN PROFESSIONAL SERVICES


Address: 725 Concord Ave, Suite 4100, Cambridge, MA 02138-1040
Phone: 6178648822

MT AUBURN PROFESSIONAL SERVICES (NPI# 1013375203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013375203
Entity Type Organization
Organization Name MT AUBURN PROFESSIONAL SERVICES
Other Organization Name BELMONT MEDICAL ASSOCIATES
Practice Address 725 Concord Ave
Suite 4100
Cambridge
MA 02138-1040
Mailing Address 1 Arsenal Market Pl
Watertown
MA 02472-5018
Practice Telephone 6178648822
Practice Fax Number 6175475367
Mailing Telephone 6176731851
Mailing Fax Number 6174995579
Enumeration Date 2016-02-03
Last Update Date 2016-02-03
Authorized Official Name WILLIAM SULLIVAN (CFO)
Authorized Official Telephone 6174995530
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207LA0401X Anesthesiology
Specialization: Addiction Medicine
Allopathic & Osteopathic Physicians
N 207N00000X Dermatology Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Belmont Medical Associates Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992750996 Mt Auburn Professional Services Emergency Medicine One Arsenal Marketplace, Watertown, MA 02472-2861 2006-05-24
1184907859 Mt Auburn Professional Services Podiatrist 725 Concord Ave, Suite 3600, Cambridge, MA 02138-1040 2011-09-20
1164640306 Mt Auburn Professional Services Emergency Medicine One Arsenal Marketplace, Watertown, MA 02472 2007-04-23
1407865439 Mt Auburn Professional Services Obstetrics & Gynecology One Arsenal Marketplace, Watertown, MA 02472 2006-08-07
1013921790 Mt Auburn Professional Services Internal Medicine 20 Holland St, Suite 407, Somerville, MA 02144-2700 2006-07-28

Office Location

Street Address 725 CONCORD AVE
SUITE 4100
City CAMBRIDGE
State MA
Zip Code 02138-1040

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780684092 Christine Mclaughlin Internal Medicine 725 Concord Ave, Ste 5200, Cambridge, MA 02138-1040 2005-07-28
1568993434 Naris Ghazarians Family Medicine 725 Concord Ave, Cambridge, MA 02138-1040 2017-03-23
1861866436 Frances Margaret Searle Nurse Practitioner 725 Concord Ave, Cambridge, MA 02138-1040 2015-11-19
1568839033 Cambridge Neurosurgical Spinecare LLC Neurological Surgery 725 Concord Ave, Suite 2300, Cambridge, MA 02138-1040 2015-08-31
1982070173 Crimson Foot and Ankle Specialists, LLC Podiatrist 725 Concord Ave, Suite 3600, Cambridge, MA 02138-1040 2015-08-11
1932584174 Shira L Page Nurse Practitioner 725 Concord Ave, Cambridge, MA 02138-1040 2015-07-29
1700288388 Krystal E Babalas Nurse Practitioner 725 Concord Ave, Cambridge, MA 02138-1040 2014-09-25
1649689878 Anna Ost Nurse Practitioner 725 Concord Ave, Cambridge, MA 02138 2014-08-13
1477984185 Legacy Foot and Ankle Specialists Podiatrist 725 Concord Ave, Suite 3600, Cambridge, MA 02138-1040 2013-12-05
1538500293 Linda Solferino Registered Nurse 725 Concord Ave, Cambridge, MA 02138-1040 2013-07-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922618610 Khushboo Vijay Bhatia Student in an Organized Health Care Education/Training Program Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 2020-08-06
1780204156 Ashna Grover Student in an Organized Health Care Education/Training Program 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 2020-04-25
1790330298 Cambridge Periodontics LLC Dentist 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 2019-08-02
1295389765 Yulia Levit Technician/Technologist 1208 Massachussets Av, Cambridge, MA 02138 2019-08-01
1720645393 Chinmay Tusharkumar Jani Student in an Organized Health Care Education/Training Program Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 2019-05-20
1386209831 Alexander Ryan Walker Internal Medicine 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 2019-05-09
1659844868 Aimee Hsieh Social Worker 525 Mount Auburn Street, Cambridge, MA 02138 2019-01-10
1043733389 Armida Fruzzetti Psychologist 900 Concord Avenue, Cambridge, MA 02138 2017-07-19
1174984827 Jenna Mezin Schmid Psychologist 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 2016-03-09
1316313208 Kelly Abbott Optometrist 12 Eliot St., Cambridge, MA 02138 2015-08-14
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386209831 Alexander Ryan Walker Internal Medicine 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 2019-05-09
1578952255 Christian Mewaldt Internal Medicine 90 Hancock St Apt 3, Cambridge, MA 02139 2015-01-17
1922413582 Stephanie Johanna Mascia Internal Medicine 625 Mount Auburn St Ste 104, Cambridge, MA 02138-4518 2014-06-23
1770920217 Judy Yee Kwok Internal Medicine 163 Gore Street, Cambridge, MA 02149-2420 2013-05-23
1063857969 Jia Liu Internal Medicine 24 Lilac Ct, Cambridge, MA 02141-1912 2013-05-06
1891923199 Nelson Kisob Aweh Internal Medicine 255 Garden St, Apt # 7, Cambridge, MA 02138-1256 2009-06-24
1326275017 Anthony Andrew Philippakis Internal Medicine 53 Ellery St # 2, Cambridge, MA 02138-4230 2009-06-19
1386871317 Elaine Hsieh Internal Medicine 141 Larch Road, Cambridge, MA 02138-0213 2009-06-17
1134372618 Lisa Lynn Vonmoltke Internal Medicine 35 Landsdowne St, Cambridge, MA 02139-4232 2008-10-29
1447427117 Andrew Marc Schutzbank Internal Medicine 240 Norfolk St, Cambridge, MA 02139-1423 2008-05-13
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Competitor

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City CAMBRIDGE
Zip Code 02138

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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