KEVIN KILLEEN (NPI# 1154398618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154398618 |
| Entity Type | Individual |
| Full Name | KEVIN KILLEEN |
| Credential | M.D. |
| Practice Address |
77 Hospital Avenue Pittsfield MA 01201 |
| Mailing Address |
725 North St Pittsfield MA 01201-4109 |
| Practice Telephone | 4136622486 |
| Practice Fax Number | 4136622102 |
| Mailing Telephone | 4138815427 |
| Mailing Fax Number | 4134966836 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2010-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 8935 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | BLUE CROSS/BLUE SHIELD | 0109136Y0NH01 | 01 |
| VT | ORE2655 | 05 | |
| VT | BLUE CROSS/BLUE SHIELD | 28550 | 01 |
| NH | 30008498 | 05 | |
| NH | MVP | 24P100 | 01 |
| NH | HAVARD PILGRIM HEALTHCARE | AA37880 | 01 |
| Street Address |
77 HOSPITAL AVENUE |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568728749 | Joseph Elias Yared | Urology | 41 Wahconah St, Pittsfield, MA 01201-2627 | 2012-04-02 |
| 1538270061 | Berkshire Urological Associates, PC | Urology | 777 North St, Pittsfield, MA 01201-4147 | 2006-08-31 |
| 1619088234 | David T Noyes | Urology | 41 Wahconah St, Pittsfield, MA 01201-2627 | 2006-08-31 |
| 1336250943 | Paul R Silverstein | Urology | 777 North St, Pittsfield, MA 01201-4147 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568099737 | Kelly Lindert | Urology | 68 Chester St, Arlington, MA 02476-7607 | 2020-03-26 |
| 1619464781 | Osama Alalao | Urology | 655 Concord Ave Apt 702, Cambridge, MA 02138-1086 | 2018-04-15 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1366983322 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Physician Community I Inc, 41 Mall Rd., Burlington, MA 01805-0001 | 2017-03-10 |
| 1447707450 | Yonah Krakowsky | Urology | 200 Boylston St # A309, Chestnut Hill, MA 02467-2012 | 2016-09-07 |
| 1952796518 | Filipe La Fuente De Carvalho | Urology | 55 Fruit St Dept of Urology, Boston, MA 02114-2621 | 2015-03-31 |
| 1487087375 | Abdulsalam Ahmed Albalawi | Urology | 88 Thornton Rd, 88, Chestnut Hill, MA 02467-3611 | 2013-08-14 |
| 1083955538 | Eugene Blanchard Cone | Urology | 55 Fruit St - Grb 1100, Massachusetts General Hospital - Department of Urology, Boston, MA 02114 | 2013-03-08 |
| 1881946929 | David T Mahony | Urology | 223 Fairview Ave, Brockton, MA 02301-2907 | 2012-10-14 |
| 1710240395 | Chintan Patel | Urology | 85 Prescott St Ste 403, Worcester, MA 01605-2671 | 2012-06-19 |
| Find all providers with the same taxonomy | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
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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.