DR. SPYRIDON KANTAS


Address: 63 Park Street, Andover, MA 01810
Phone: 9784091137

DR. SPYRIDON KANTAS (NPI# 1154317089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154317089
Entity Type Individual
Full Name DR. SPYRIDON KANTAS
Credential MD
Practice Address 63 Park Street
Andover
MA 01810
Practice Telephone 9784091137
Practice Fax Number 9784091906
Mailing Telephone 9784091137
Mailing Fax Number 9784091906
Enumeration Date 2005-09-26
Last Update Date 2016-06-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0000X Internal Medicine
Specialization: Adolescent Medicine
216696 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 2084520 05

Office Location

Street Address 63 PARK STREET
City ANDOVER
State MA
Zip Code 01810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154725919 Vicki Yib Nurse Practitioner 63 Park Street, Andover, MA 01810 2014-10-22
1972520484 Andover Smiles Dentist 63 Park Street, Andover, MA 01810 2006-07-17
1831172162 Andrew S Lim Family Medicine 63 Park Street, Andover, MA 01810 2005-11-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871123513 Jill Katherine Priestley Registered Nurse 251 South Main Street, Andover, MA 01810 2020-01-22
1023672086 Diane Marie Gallant Occupational Therapy Assistant 5606 80 Andover Street, Andover, MA 01810 2019-04-25
1932677473 Jessica Howie Physician Assistant 28 Andover St Fl 1, Andover, MA 01810 2018-11-02
1972087138 Mia Cloonan Social Worker 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 2018-09-23
1063995462 Janet Suleski Social Worker 10 Stevens St, Andover, MA 01810 2018-09-11
1942794706 Alison Catherine Lynch Optometrist 7 Parthenon Cir, Andover, MA 01810 2018-06-15
1740773647 Wandajune Bishop-towle Psychologist 75 Wild Rose Dr., Andover, MA 01810 2018-06-14
1235689860 Jo-ann Elizabeth Newcomb Registered Nurse 12 Hemlock Rd, Andover, MA 01810 2016-10-06
1922476712 Marianela Rivera Physical Therapist 32 Osgood St., Andover, MA 01810 2015-09-10
1447535935 Kathleen L Mccracken Occupational Therapy Assistant 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 2011-10-15
Find all providers in zip 01810

Taxonomy Information

Taxonomy Code 207RA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Adolescent Medicine

Taxonomy Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205992989 Ambama Clinic PC Internal Medicine 56 Cottage Grove Ave, Brockton, MA 02301-6347 2006-12-28
1174545875 Partners Community Physicians Organization Inc Internal Medicine 80 Beharrell St, Concord, MA 01742-1739 2006-07-24
1396714499 Lynn Ellen Jumper Internal Medicine 727 Main St, Melrose, MA 02176 2006-03-14
1326039603 Ellen Senghas Internal Medicine 76b Carlon Dr, Northampton, MA 01060-2373 2005-11-04
1588824601 Kathleen Townes Internal Medicine 36 Essex Rd, Lahey Ipswich, Ipswich, MA 01938-2599 2008-06-12
1821258179 Bryon A. Gentile Internal Medicine 55 Lake Ave N, Worcester, MA 01655-0002 2008-06-11
1427186428 Ashish Gandhi Md PC Internal Medicine 451 Andover St Ste G11, North Andover, MA 01845 2007-03-01
1093840779 Thomas I. Nary Internal Medicine 140 Commonwealth Ave, Boston College Health Services Cushing Hall, Chestnut Hill, MA 02467-3800 2007-02-22
1780761312 Jonathan M Mansbach Internal Medicine 300 Longwood Ave, Boston, MA 02115-5724 2006-11-01
1245315290 Kalpna Thuraisamy Internal Medicine 269 Chatham Rd, Harwich, MA 02645-3309 2006-10-26
Find all providers with the same taxonomy

Competitor

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City ANDOVER
Zip Code 01810

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Dataset Information

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.

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