MICHAEL J.F. IANNESSA (NPI# 1083633580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083633580 |
| Entity Type | Individual |
| Full Name | MICHAEL J.F. IANNESSA |
| Credential | M.D. |
| Practice Address |
1233 State Rd Plymouth MA 02360-5133 |
| Mailing Address |
40 Chestnut St Apt. #2 Charlestown MA 02129-3436 |
| Practice Telephone | 5082247701 |
| Mailing Telephone | 7812541148 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
52862 | MA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 52862 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3136248 | 05 |
| Street Address |
1233 STATE RD |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-5133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736586 | Brooke Fleming | Counselor | 1233 State Rd, Plymouth, MA 02360-5133 | 2019-12-02 |
| 1194367961 | Jessica Marie Rapoza | Counselor | 1233 State Rd, Plymouth, MA 02360-5133 | 2019-10-14 |
| 1164083952 | Destiny Marie Kerr | Counselor | 1233 State Rd, Plymouth, MA 02360-5133 | 2019-06-24 |
| 1720641210 | Matthew Hart | Counselor | 1233 State Rd, Plymouth, MA 02360-5133 | 2019-04-19 |
| 1073078507 | Christopher Matthew Englehart | Counselor | 1233 State Rd, Plymouth, MA 02360-5133 | 2019-02-08 |
| 1285117267 | Melissa Johnson | Counselor | 1233 State Rd, Plymouth, MA 02360-5133 | 2018-09-14 |
| 1629550967 | Denise Sharp | Counselor | 1233 State Rd, Plymouth, MA 02360-5133 | 2018-09-04 |
| 1366929218 | Amy Gabouny | Counselor | 1233 State Rd, Plymouth, MA 02360-5133 | 2018-07-24 |
| 1417440074 | Jennifer Theresa Louise Wylie | Counselor | 1233 State Rd, Plymouth, MA 02360-5133 | 2018-06-08 |
| 1649787763 | Krislyn Evans Antonellis | Counselor | 1233 State Rd, Plymouth, MA 02360-5133 | 2018-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457560708 | Jerome E Schulz | Internal Medicine | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154804698 | Bay Medical Systems Associates LLC | Internal Medicine | 29 Main St Ste 101, Millbury, MA 01527-2005 | 2018-09-11 |
| 1619491198 | Willett & Associates | Internal Medicine | 22 Adams St Ste 1, Lynn, MA 01902-2804 | 2017-07-27 |
| 1275897092 | Jeoffrey Michael Hill | Internal Medicine | 100 Stone Manor Dr, New Marlborough, MA 01230-9744 | 2012-06-26 |
| 1487944914 | William Robert Caruso | Internal Medicine | 8 Winthrop Ave, Po 1153, Duxbury, MA 02332-5207 | 2011-04-18 |
| 1417139700 | David Anthony Tortorella | Internal Medicine | 170 Main St Units G4-g8, Tewksbury, MA 01876 | 2007-11-29 |
| 1609920776 | Theodore Treibick | Internal Medicine | 138 East St, Carlisle, MA 01741-1105 | 2007-01-23 |
| 1174544548 | William M Burke | Internal Medicine | 157 Temple St, West Roxbury, MA 02132-3804 | 2006-07-21 |
| 1235165291 | Robert Barry Downes | Internal Medicine | 169 Pine St, Natick, MA 01760-1332 | 2006-06-23 |
| 1669430526 | Alan A Wartenberg | Internal Medicine | 3 Prince St, Attleboro, MA 02703-1613 | 2006-05-02 |
| 1467421230 | Pranav Prakash | Internal Medicine | 380 Elm St Ste 2, North Attleboro, MA 02760-3314 | 2006-03-15 |
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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.