DIGESTIVE DISEASE ASSOCIATES PC (NPI# 1174700421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174700421 |
Entity Type | Organization |
Organization Name | DIGESTIVE DISEASE ASSOCIATES PC |
Practice Address |
47 Obery St Ste 201 Plymouth MA 02360-2230 |
Mailing Address |
47 Obery St Ste 201 Plymouth MA 02360 |
Practice Telephone | 5087471560 |
Practice Fax Number | 5087475155 |
Mailing Telephone | 5087471560 |
Mailing Fax Number | 5087475155 |
Enumeration Date | 2008-01-29 |
Last Update Date | 2016-11-15 |
Authorized Official Name | DR. JONATHAN M RUSSO (PRESIDENT) |
Authorized Official Telephone | 5087471560 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 3020835 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629408083 | Digestive Disease Associates PC | Internal Medicine | 451 Saint Lukes Dr, Montgomery, AL 36117-7107 | 2013-11-22 |
Street Address |
47 OBERY ST STE 201 |
City | PLYMOUTH |
State | MA |
Zip Code | 02360-2230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184681892 | Jonathan Matt Russo | Internal Medicine | 47 Obery St, Suite 201, Plymouth, MA 02360-2229 | 2006-04-27 |
1699336875 | Laura R Kelley | Registered Nurse | 47 Obery St, Plymouth, MA 02360-2229 | 2019-06-27 |
1639336423 | Brian M. Gill | Internal Medicine | 47 Obery St, Suite 201, Plymouth, MA 02360-2229 | 2008-05-20 |
1770540346 | Bruce Raymond Marcel | Internal Medicine | 47 Obery St, Ste 201, Plymouth, MA 02360-2230 | 2006-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
Find all providers in zip 02360 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
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 |
---|---|---|---|---|
1710072202 | Arthur J Esswein, Md LLC | Internal Medicine | 110 Long Pond Rd Suite 202, Plymouth, MA 02360 | 2006-10-03 |
1184681892 | Jonathan Matt Russo | Internal Medicine | 47 Obery St, Suite 201, Plymouth, MA 02360-2229 | 2006-04-27 |
1811969678 | Cecil H Chally | Internal Medicine | 15700 37th Ave N, Suite 300, Plymouth, MN 55446-3661 | 2006-02-06 |
1215226386 | Birtukan Belew Cinnor | Internal Medicine | 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 | 2011-03-29 |
1043528250 | Maysaa El Zoghbi | Internal Medicine | 275 Sandwich St, Plymouth, MA 02360-2183 | 2010-09-22 |
1639336423 | Brian M. Gill | Internal Medicine | 47 Obery St, Suite 201, Plymouth, MA 02360-2229 | 2008-05-20 |
1447427588 | Jose Antonio Vega Peralta | Internal Medicine | 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 | 2008-05-08 |
1093832453 | Daniel Mark Van Handel | Internal Medicine | 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 | 2007-03-23 |
1922111640 | Mitchell L Oliver | Internal Medicine | 110 Long Pond Rd, Suite 212, Plymouth, MA 02360-2642 | 2006-08-16 |
1013975390 | Erica N. Roberson | Internal Medicine | 15700 37th Ave N, #300, Plymouth, MN 55446-3399 | 2006-05-03 |
Find all providers in PLYMOUTH |
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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.