KATHRYN RODRIGUEZ LUPEZ (NPI# 1073967196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073967196 |
| Entity Type | Individual |
| Full Name | KATHRYN RODRIGUEZ LUPEZ |
| Other Name | KATHRYN LEE RODRIGUEZ |
| Credential | M.D. |
| Practice Address |
1 Deaconess Rd Boston MA 02215-5321 |
| Mailing Address |
1717 W 1st Street Apt #5 Winston-salem NC 27104 |
| Practice Telephone | 6176677000 |
| Mailing Telephone | 3057908299 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 278498 | MA | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 217967 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110152041A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Blythe Blvd, Cmc/department of Emergency Medicine, Charlotte, NC 282035812 | 7043553181 | 7043557047 |
| 119 Belmont St, Worcester, MA 016052903 | 5084211400 | 5084211490 |
| 157 Union St, Marlborough, MA 017521228 | 5084211400 | 5084211490 |
| 201 Highland St, Clinton, MA 015101037 | 5084211400 | 5084211490 |
| 510 N Main St, Leominster, MA 014531814 | 5084211400 | 5084211490 |
| 55 Lake Ave N, Worcester, MA 016550002 | 5084211400 | 5084211490 |
| 60 Hospital Rd, Leominster, MA 014532205 | 5084211400 | 5084211490 |
| Street Address |
1 DEACONESS RD |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356337554 | Jason S Wakakuwa | Anesthesiology | 1 Deaconess Rd, Beth Israel Deaconess Medical Ctr Dept of Anesthesia, Boston, MA 02215 | 2005-09-22 |
| 1922619170 | Caroline Riley | Nurse Practitioner | 1 Deaconess Rd, Boston, MA 02215-5321 | 2020-08-12 |
| 1104443886 | Shannon Christine Brophy | Registered Nurse | 1 Deaconess Rd, Boston, MA 02215-5321 | 2020-06-29 |
| 1326692419 | Faisal Alfadhel | Radiology | 1 Deaconess Rd, Boston, MA 02215-5321 | 2019-07-28 |
| 1700346178 | Amnon Asher Berger | Student in an Organized Health Care Education/Training Program | 1 Deaconess Rd, Boston, MA 02215-5321 | 2019-03-22 |
| 1124595129 | Jennifer Bui | Pharmacist | 1 Deaconess Rd, Boston, MA 02115-6007 | 2018-10-28 |
| 1609342443 | Molly Ryan | Registered Nurse | 1 Deaconess Rd, Boston, MA 02215-5321 | 2018-10-19 |
| 1831677863 | Meghan Chenevert | Nurse Practitioner | 1 Deaconess Rd, Boston, MA 02215 | 2018-08-01 |
| 1750874970 | Danielle Day Rawal | Student in an Organized Health Care Education/Training Program | 1 Deaconess Rd, Boston, MA 02215-5321 | 2018-06-12 |
| 1831689132 | Lynn Guimond Mackinson | Registered Nurse | 1 Deaconess Rd, Boston, MA 02215-5321 | 2018-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366947954 | Karrin Weisenthal | Emergency Medicine | 1 Boston Pl Rm 1322, Boston, MA 02108 | 2018-03-27 |
| 1942705884 | Jillian Britt Duffy | Emergency Medicine | 1 Boston Medical Ctr Pl Rm 1322, Boston, MA 02118 | 2018-03-23 |
| 1245760024 | Nicholas D. Kurtzman | Emergency Medicine | One Deaconess Road Rosenberg Building, 2nd Floor, Department of Emergency Medicine, Boston, MA 02215 | 2017-06-14 |
| 1942730007 | Alec John Koffer | Emergency Medicine | 1 Deaconess Rd Bldg 2nd, Boston, MA 02215-5321 | 2017-06-12 |
| 1609257609 | Andrew Dean Alex Marshall | Emergency Medicine | 1 Deaconess Rd Fl 2, Boston, MA 02215-5321 | 2015-06-16 |
| 1124414446 | Alister Martin | Emergency Medicine | 75 Francis St # At, Boston, MA 02115-6110 | 2015-04-14 |
| 1699188524 | Vijay Christopher Kannan | Emergency Medicine | 1 Deaconess Road W/cc2, Boston, MA 02215 | 2014-06-09 |
| 1659798809 | Jonathan Van Ornam | Emergency Medicine | 75 Francis St # 236a, Boston, MA 02115-6110 | 2014-03-26 |
| 1871938597 | Christine Lee | Emergency Medicine | Department of Emergency Medicine, Beth Israel Deaconess, One Deaconess Road, Rosenberg Building 2, Boston, MA 02215-5321 | 2013-05-08 |
| 1497098149 | Andrew Perechocky | Emergency Medicine | 1 Boston Medical Center Place, Dowling 1 South Rm 1322, Boston Medical Center, Dept. of Emergency Medicine, Boston, MA 02118 | 2013-04-01 |
| Find all providers in BOSTON | ||||
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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.