DR. DALE STANLEY ANTANITUS (NPI# 1124158910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124158910 |
Entity Type | Individual |
Full Name | DR. DALE STANLEY ANTANITUS |
Credential | M.D. |
Practice Address |
1196 North Rd Carlisle MA 01741-1237 |
Practice Telephone | 9783187935 |
Practice Fax Number | 9783187935 |
Mailing Telephone | 9783187935 |
Mailing Fax Number | 9783187935 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 44658 | MA | Allopathic & Osteopathic Physicians |
Street Address |
1196 NORTH RD |
City | CARLISLE |
State | MA |
Zip Code | 01741-1237 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205957453 | Heidi Birgit Kummer | Anesthesiology | Heidi B. Kummer M.d., 63 Spencer Brook Lane, Carlisle, MA 01741 | 2007-04-03 |
1588780126 | Eileen Kain Szypko | Dentist | 18 Westford Road, Carlisle, MA 01741 | 2007-03-22 |
1013052257 | Frederick Joseph Wagner Jr. | Optometrist | 101 Kimball Rd, Carlisle, MA 01741 | 2007-02-21 |
1134274871 | James L Tung | Emergency Medicine | 150 Buttrick Lane, Carlisle, MA 01741 | 2007-01-24 |
1134286586 | Ross King Peterson | Psychiatry & Neurology | One River Rd, Carlisle, MA 01741 | 2007-01-03 |
1457419699 | Sharon A Chirban | Psychologist | 479 West Street, Carlisle, MA 01741 | 2006-12-04 |
1376040899 | Community Healthcare Alliance, Pllc | Internal Medicine | 138 East St, Carlisle, MA 01741 | 2018-04-11 |
1588190516 | Sustainable Dish, LLC | Dietitian, Registered | 185 Concord St, Carlisle, MA 01741 | 2017-05-11 |
1962608471 | Andrea Richman Dmd PC | Clinic/Center | 18 Westford Road, Carlisle, MA 01741-0174 | 2007-06-22 |
1912986134 | Moojan Rouhi | Optometrist | 65 Hutchins Rd, Carlisle, MA 01741-1027 | 2006-01-16 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083940076 | Osias M Villaflor, Md, Psc | General Practice | 2300 Concrete Rd, Carlisle, KY 40311-9721 | 2009-10-26 |
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1508290040 | Richard Lerner | General Practice | 2 Central St, Framingham, MA 01701-4163 | 2013-09-01 |
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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.