MASSACHUSETTS ENT CONSULTANTS LLC (NPI# 1184118564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184118564 |
| Entity Type | Organization |
| Organization Name | MASSACHUSETTS ENT CONSULTANTS LLC |
| Practice Address |
100 Sylvan Rd Ste 750 Woburn MA 01801-1852 |
| Practice Telephone | 7819373001 |
| Practice Fax Number | 7819373070 |
| Mailing Telephone | 7819373001 |
| Mailing Fax Number | 7819373070 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Authorized Official Name | THOMAS H. COSTELLO (MANAGER) |
| Authorized Official Telephone | 7819373001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | EAR, NOSE & THROAT CONSULTANTS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 223562 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1021 Main St Ste 105, Winchester, MA 018901971 | 7819373001 | 7819373070 |
| Street Address |
100 SYLVAN RD STE 750 |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-1852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056225 | Kathleen Holly Gallivan | Otolaryngology | 100 Tradecenter, Suite 750, Woburn, MA 01801-1851 | 2005-07-14 |
| 1942278908 | Andrew Maurice Doolittle | Otolaryngology | 100 Tradecenter, Suite 750, Woburn, MA 01801-1852 | 2006-03-08 |
| 1710986781 | Thomas H Costello | Otolaryngology | 100 Tradecenter, Suite 750, Woburn, MA 01801-1851 | 2005-07-20 |
| 1942209655 | Ear, Nose & Throat Consultants, Inc | Otolaryngology | 100 Tradecenter, Suite 750, Woburn, MA 01801-1851 | 2005-07-15 |
| 1568461333 | Jeffrey Stuart Brown | Otolaryngology | 100 Sylvan Rd, Suite 750, Woburn, MA 01801-1851 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215497938 | Emily Gall | Otolaryngology | 860 Washington St Fl 1, Boston, MA 02111-1521 | 2019-03-20 |
| 1538628789 | Pratima Agarwal | Otolaryngology | 800 Harrison Avenue, Bcd 5th Floor, Boston, MA 02118 | 2019-03-18 |
| 1669945887 | Meea-cape Cod Pho LLC | Otolaryngology | 5 Industrial Dr Ste 201, Mashpee, MA 02649-3465 | 2019-01-10 |
| 1497259212 | Michal Plocienniczak | Otolaryngology | 830 Harrison Ave Fl 1, Boston, MA 02118-2905 | 2018-03-19 |
| 1124479282 | Jordan Glicksman | Otolaryngology | 104 Endicott St Ste 100, Danvers, MA 01923-3623 | 2016-06-29 |
| 1396158507 | Erin Haser | Otolaryngology | 800 Washington St # 850, Department of Otolaryngology, Boston, MA 02111-1552 | 2014-06-05 |
| 1447675152 | Taleb Barghouthi | Otolaryngology | 300 Longwood Venue, Boston Children's Hospital, Boston, MA 02115 | 2014-03-04 |
| 1538507512 | Ameer Trilok Shah | Otolaryngology | 35 Pearl St Ste 200, Brockton, MA 02301 | 2013-06-12 |
| 1932442662 | Scott Finlay | Otolaryngology | 3 Meeting House Rd Ste 23and24, Chelmsford, MA 01824 | 2013-04-01 |
| 1861734949 | Bridget Driscoll Burgess | Otolaryngology | 825 Main St Fl 1, Weymouth, MA 02190-1659 | 2013-03-26 |
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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.