PEDIATRIC ASSOCIATES OF MALDEN, PC (NPI# 1134193097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134193097 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ASSOCIATES OF MALDEN, PC |
| Practice Address |
105 Commercial St Malden MA 02148-5509 |
| Practice Telephone | 7813225101 |
| Practice Fax Number | 7813225280 |
| Mailing Telephone | 7813225101 |
| Mailing Fax Number | 7813225280 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. TIEN-LAN CHANG (PRESIDENT) |
| Authorized Official Telephone | 7813225101 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | M17324 | 01 |
| MA | FALLON | 43430 | 01 |
| MA | TUFTS HEALTH PLAN | 683054 | 01 |
| MA | 9785973 | 05 | |
| MA | AETNA | 101241 | 01 |
| Street Address |
105 COMMERCIAL ST |
| City | MALDEN |
| State | MA |
| Zip Code | 02148-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255313771 | Tien-lan Chang | Pediatrics | 105 Commercial St, Malden, MA 02148-5509 | 2005-11-18 |
| 1598925356 | Ephat Hadas Russcol | Pediatrics | 105 Commercial St, Malden, MA 02148-5509 | 2008-06-14 |
| 1942378633 | Pediatric Associates of Malden PC | Pediatrics | 105 Commercial St, Malden, MA 02148-5509 | 2006-12-01 |
| 1679648307 | Rosalinda J Ott | Pediatrics | 105 Commercial St, Malden, MA 02148 | 2006-11-21 |
| 1750320743 | Maura K Shea | Pediatrics | 105 Commercial St, Malden, MA 02148-5509 | 2006-06-05 |
| 1548233588 | Austin Shih-yih Liu | Pediatrics | 105 Commercial St, Malden, MA 02148-5509 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680743 | Cambridge Public Health Commission | Pharmacy | 350 Main Street Suite 640, Malden, MA 02148 | 2020-02-05 |
| 1568932192 | Stephanie L Octave | Behavior Technician | 28 Wolcott St, Malden, MA 02148 | 2018-11-27 |
| 1477036549 | Fabienne Odney | Registered Nurse | 41 Alpine St, Malden, MA 02148 | 2018-09-13 |
| 1972085322 | Donna Watson | Social Worker | 33 Goodwin Avenue, Malden, MA 02148 | 2018-09-02 |
| 1588144505 | Michael William Sage | Physician Assistant | Cha Malden Care Center, 195 Canal Street, Malden, MA 02148 | 2018-08-20 |
| 1255827432 | Martineau Louine | Internal Medicine | 11 Dennis Road, Malden, MA 02148 | 2018-07-10 |
| 1700378098 | Catherine Grieves | Social Worker | 785 Main St Apt. 6, Malden, MA 02148 | 2018-06-01 |
| 1215427901 | Leam Thomas | Counselor | 175 Summer Street, Apt204, Malden, MA 02148 | 2018-05-17 |
| 1629593637 | David Acuna | Counselor | 22 Plesant Street, Malden, MA 02148 | 2017-08-10 |
| 1295258580 | Judith P Phillips | Physician Assistant | 24 Auburn Street, Malden, MA 02148 | 2017-07-19 |
| Find all providers in zip 02148 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030720 | Mebe Massachusetts | Pediatrics | 51 Pleasant St # 1002, Malden, MA 02148-4904 | 2020-10-15 |
| 1407820046 | Ingrid Y Henar | Pediatrics | South Cove Community Center, 277 Commercial Street, Malden, MA 02148 | 2006-02-13 |
| 1255313771 | Tien-lan Chang | Pediatrics | 105 Commercial St, Malden, MA 02148-5509 | 2005-11-18 |
| 1245212570 | Manorama Mathur | Pediatrics | 1127 Salem St, Malden, MA 02148-4637 | 2005-11-14 |
| 1457741332 | Jane Anni | Pediatrics | 806 N Douglass St, Malden, MO 63863-1512 | 2015-01-29 |
| 1598925356 | Ephat Hadas Russcol | Pediatrics | 105 Commercial St, Malden, MA 02148-5509 | 2008-06-14 |
| 1942378633 | Pediatric Associates of Malden PC | Pediatrics | 105 Commercial St, Malden, MA 02148-5509 | 2006-12-01 |
| 1679648307 | Rosalinda J Ott | Pediatrics | 105 Commercial St, Malden, MA 02148 | 2006-11-21 |
| 1750320743 | Maura K Shea | Pediatrics | 105 Commercial St, Malden, MA 02148-5509 | 2006-06-05 |
| 1548233588 | Austin Shih-yih Liu | Pediatrics | 105 Commercial St, Malden, MA 02148-5509 | 2006-02-09 |
| Find all providers in MALDEN | ||||
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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.