TODD ALAN KERENSKY (NPI# 1033371299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033371299 |
| Entity Type | Individual |
| Full Name | TODD ALAN KERENSKY |
| Credential | M.D. |
| Practice Address |
55 Fogg Road Weymouth MA 02190-3003 |
| Mailing Address |
1600 Sw Archer Rd Gainesville FL 32610-3003 |
| Practice Telephone | 7816248000 |
| Practice Fax Number | 7818786750 |
| Mailing Telephone | 3522650239 |
| Mailing Fax Number | 3522651107 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 245493 | MA | Allopathic & Osteopathic Physicians |
| Y | 2083A0300X | 245493 | MA |
| Street Address |
55 FOGG ROAD |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02190-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083908867 | Ari Lev Moskowitz | Anesthesiology | 55 Fogg Road, Weymouth, MA 02190 | 2011-06-08 |
| 1477873412 | Ryan J Sullivan | Emergency Medicine | 55 Fogg Road, Weymouth, MA 02190 | 2010-06-01 |
| 1093030256 | Matthew D Giangola | Internal Medicine | 55 Fogg Road, Weymouth, MA 02190 | 2010-03-31 |
| 1437317096 | Raghu R. Seethala | Emergency Medicine | 55 Fogg Road, Weymouth, MA 02061 | 2008-05-29 |
| 1750433405 | Karen Murphy-fitch | Advanced Practice Midwife | 55 Fogg Road, Weymouth, MA 02190 | 2007-01-16 |
| 1760420046 | Philip T O'sullivan | Radiology | 55 Fogg Road, South Shore Radiological, Weymouth, MA 02190-2432 | 2006-06-02 |
| 1548228042 | Maurice F. Loeffel IIi | Emergency Medicine | 55 Fogg Road, Weymouth, MA 02190 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
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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.