DEDHAM MEDICAL ASSOC INC (NPI# 1013942390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013942390 |
| Entity Type | Organization |
| Organization Name | DEDHAM MEDICAL ASSOC INC |
| Practice Address |
One Lyons Street Dedham MA 02026 |
| Mailing Address |
Po Box 9120 Dedham MA 02027-9120 |
| Practice Telephone | 7813291400 |
| Practice Fax Number | 7812785667 |
| Mailing Telephone | 7813291400 |
| Mailing Fax Number | 7812785667 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD M RUSSO (CFO) |
| Authorized Official Telephone | 7812785540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | ========= | MA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9766626 | 05 | |
| MA | 9766529 | 05 | |
| MA | 9766537 | 05 | |
| MA | 9766588 | 05 | |
| MA | 9766545 | 05 | |
| MA | 9766596 | 05 | |
| MA | 9766618 | 05 | |
| MA | 9766634 | 05 | |
| MA | 9766553 | 05 | |
| MA | 9766561 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407860968 | Dedham Medical Assoc Inc | Urology | One Lyons St, Dedham, MA 02026 | 2006-07-28 |
| 1932112117 | Dedham Medical Assoc Inc | Radiology | One Lyons Street, Dedham, MA 02026 | 2006-08-15 |
| 1326064312 | Dedham Medical Assoc Inc | Surgery | One Lyons Street, Dedham, MA 02026 | 2006-07-14 |
| 1205836376 | Dedham Medical Assoc Inc | Dentist | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1922008093 | Dedham Medical Assoc Inc | Audiologist | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1831199900 | Dedham Medical Assoc Inc | Dietitian, Registered | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1740280817 | Dedham Medical Assoc Inc | Pediatrics | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1902806078 | Dedham Medical Assoc Inc | Physical Therapist | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1548260615 | Dedham Medical Assoc Inc | Physical Medicine & Rehabilitation | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1366442436 | Dedham Medical Assoc Inc | Obstetrics & Gynecology | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| Street Address |
ONE LYONS STREET |
| City | DEDHAM |
| State | MA |
| Zip Code | 02026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952372872 | Julie J Bilgor | Physical Therapist | One Lyons Street, Dedham, MA 02026 | 2006-01-30 |
| 1740355197 | Betsy D Kontoleon | Internal Medicine | One Lyons Street, Dedham, MA 02026 | 2006-11-21 |
| 1992889711 | Corine Milgram | Nurse Practitioner | One Lyons Street, Dedham, MA 02026 | 2006-10-25 |
| 1932112117 | Dedham Medical Assoc Inc | Radiology | One Lyons Street, Dedham, MA 02026 | 2006-08-15 |
| 1023027745 | Stefanie Wong | Dentist | One Lyons Street, Dedham, MA 02026 | 2006-08-05 |
| 1316965999 | Dedham Medical Assoc | Internal Medicine | One Lyons Street, Dedham, MA 02026 | 2006-07-18 |
| 1326064312 | Dedham Medical Assoc Inc | Surgery | One Lyons Street, Dedham, MA 02026 | 2006-07-14 |
| 1659306942 | Dedham Medical Associates, Inc | Orthopaedic Surgery | One Lyons Street, Dedham, MA 02026 | 2006-07-12 |
| 1447280615 | Jay S Schwab | Dentist | One Lyons Street, Dedham, MA 02026 | 2006-07-04 |
| 1548236920 | Joseph L Andrews | Internal Medicine | One Lyons Street, Dedham, MA 02026 | 2006-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
| 1497354674 | Lifetime Physical Therapy | Physical Therapist | 453 Sprague St, Dedham, MA 02026 | 2020-10-20 |
| 1164060067 | Healthy Healing Home Care Agency LLC | In Home Supportive Care | 3 Allied Dr Suite 303, Dedham, MA 02026 | 2019-12-11 |
| 1689149023 | Alyssa Michel | Counselor | 20 E Astbrook Rd, Suite 104, Dedham, MA 02026 | 2018-10-12 |
| 1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
| 1598283848 | Jason Peltier | Physical Therapist | 606 Providence Highway, Dedham, MA 02026 | 2017-09-07 |
| 1558883371 | Padme Physical Therpay | Clinic/Center | 227 Legacy Place Boulevard, Stil Studio, Dedham, MA 02026 | 2017-07-13 |
| 1851828107 | Pm Pediatrics of New England | Pediatrics | 719 Providence Highway, Dedham, NY 02026 | 2017-05-17 |
| 1740715846 | Stil Legacy Dedham | Physical Therapist | 227 Legacy Place, Dedham, MA 02026 | 2017-04-26 |
| 1053856310 | Donald Hughes | Social Worker | 270 Bridge Street, Suite 301, Dedham, MA 02026 | 2016-12-22 |
| Find all providers in zip 02026 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770052623 | Edward Joseph Salem | Podiatrist | 18 Hadley Village Rd Apt D, South Hadley, MA 01075-2272 | 2018-11-21 |
| 1497230171 | Coastal Foot & Ankle Inc | Podiatrist | 300 Hanover St Ste 2c, Fall River, MA 02720-5451 | 2018-09-28 |
| 1942794656 | Christopher H. Peteros, Dpm, LLC | Podiatrist | 1200 Converse St Ste 103, Longmeadow, MA 01106-1760 | 2018-06-16 |
| 1003309444 | Plymouth Podiatry PC | Podiatrist | 135 Sandwich St Ste 1, Plymouth, MA 02360-2400 | 2018-06-11 |
| 1972024735 | Richa Piyush Patel | Podiatrist | 100 Crossing Blvd Ste 300, Framingham, MA 01702-5555 | 2017-07-03 |
| 1508391186 | Steven Quan | Podiatrist | 70 Wesson Ave, Quincy, MA 02169-7412 | 2017-04-20 |
| 1598117350 | Melissa Lynn Ricci | Podiatrist | 100 Highland St Ste 122, Milton, MA 02186-3878 | 2016-07-05 |
| 1639528987 | Sturdy Memorial Associates, Inc | Podiatrist | 7 Wilkins Drive, Plainville, MA 02762 | 2016-06-08 |
| 1043669591 | Sara Elizabeth Rose-sauld | Podiatrist | 52 2nd Ave Ste 1150, Waltham, MA 02451-1129 | 2016-06-06 |
| 1558743880 | Alissa Kuizinas | Podiatrist | 54 Baker Avenue Ext Ste 301, Concord, MA 01742-2139 | 2015-06-23 |
| Find all providers with the same taxonomy | ||||
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| 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.