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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
216696 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 2084520 | 05 |
Street Address |
63 PARK STREET |
City | ANDOVER |
State | MA |
Zip Code | 01810 |
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 |
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 Code | 207RA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Adolescent Medicine |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
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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 |
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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.