PAUL JOSEPH PANTANO II (NPI# 1023112604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023112604 |
Entity Type | Individual |
Full Name | PAUL JOSEPH PANTANO II |
Credential | DPM |
Practice Address |
32 South St Suite 300a Waltham MA 02453 |
Mailing Address |
Po Box 540326 Waltham MA 02454 |
Practice Telephone | 7818931443 |
Practice Fax Number | 7812319320 |
Mailing Telephone | 7818931443 |
Mailing Fax Number | 7812319320 |
Enumeration Date | 2006-09-12 |
Last Update Date | 2010-11-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1547 | MA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 0340855 | 05 |
Street Address |
32 SOUTH ST SUITE 300A |
City | WALTHAM |
State | MA |
Zip Code | 02453 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982609228 | Doreen Karoll | Pediatrics | 32 South St, Suite 200, Waltham, MA 02453-3555 | 2005-06-14 |
1083075550 | Victoria Ferrante | Nutritionist | 32 South St, Suite 103, Waltham, MA 02453-3594 | 2016-03-11 |
1205231339 | Doreen Karoll, Md | Pediatrics | 32 South St, Suite 200, Waltham, MA 02453-3555 | 2014-10-31 |
1841604493 | Epic Healthcare Solutions LLC | Internal Medicine | 32 South St, Suite # 301 B, Waltham, MA 02453-3594 | 2014-06-11 |
1174947253 | Advanced Nutrition, LLC | Dietitian, Registered | 32 South St, Unit 300, Waltham, MA 02453-3594 | 2014-02-11 |
1992046718 | Cabin Medical LLC | Dietitian, Registered | 32 South St, Suite 300, Waltham, MA 02453-3594 | 2013-03-04 |
1023353281 | Varuna Tuli Md LLC | Clinic/Center | 32 South St, Suite No 200, Waltham, MA 02453-3594 | 2012-11-29 |
1760750814 | Victoria L. Janes | Dietitian, Registered | 32 South St, Ste 103, Waltham, MA 02453-3555 | 2011-12-05 |
1023277183 | Henry John Merola, M.d., PC | Internal Medicine | 32 South St, Suite 205, Waltham, MA 02453-3594 | 2008-06-04 |
1194994921 | Ashok K. Patel Dmd, PC | Dentist | 32 South St, Suite 100, Waltham, MA 02453-3594 | 2008-02-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
Find all providers in zip 02453 |
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 |
---|---|---|---|---|
1043669591 | Sara Elizabeth Rose-sauld | Podiatrist | 52 2nd Ave Ste 1150, Waltham, MA 02451-1129 | 2016-06-06 |
1235194929 | Richard Crossman | Podiatrist | 30 Grant St, Waltham, MA 02453-4202 | 2006-04-18 |
1255740320 | Usman T Akram | Podiatrist | 40 2nd Ave, Waltham, MA 02451 | 2014-08-04 |
1700822814 | Mark Tuler | Podiatrist | 32 South St, Suite 301, Waltham, MA 02453-3594 | 2006-06-20 |
1972546224 | Mark Tuler Dpm | Podiatrist | 32 South St, Suite 301, Waltham, MA 02453-3594 | 2006-06-14 |
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 |
1558743880 | Alissa Kuizinas | Podiatrist | 54 Baker Avenue Ext Ste 301, Concord, MA 01742-2139 | 2015-06-23 |
1720470982 | Bonni Berkowitz | Podiatrist | 61 Pleasant St Unit 1386, Newburyport, MA 01950-1059 | 2015-02-25 |
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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.