EDWIN C RADKE (NPI# 1184661761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184661761 |
| Entity Type | Individual |
| Full Name | EDWIN C RADKE |
| Credential | M.D. |
| Practice Address |
140 Haverhill Street Andover Ob/gyn Andover MA 01810 |
| Mailing Address |
140 Haverhill St Andover MA 01810-1504 |
| Practice Telephone | 9784752731 |
| Mailing Telephone | 9784752731 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 81954 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
140 HAVERHILL STREET ANDOVER OB/GYN |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497712947 | Mihaela Templer | Family Medicine | 140 Haverhill Street, Andover, MA 01810 | 2006-04-27 |
| 1417187386 | Srivalli Konduri | Family Medicine | 140 Haverhill Street, Andover, MA 01810 | 2009-07-24 |
| 1144498460 | Kyle Peter Harvey | Surgery | 140 Haverhill Street, Andover, MA 01810-1550 | 2008-02-20 |
| 1336209097 | Heather Benedetto | Nurse Practitioner | 140 Haverhill Street, Andover, MA 01810 | 2006-12-11 |
| 1851492714 | Victor Vidal Villarreal | Specialist | 140 Haverhill Street, Andover, MA 01810-1504 | 2006-09-25 |
| 1366480667 | Elise E Saks | Obstetrics & Gynecology | 140 Haverhill Street, Andover Ob/gyn, Andover, MA 01810 | 2006-06-02 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366599474 | Marie A Drouin | Obstetrics & Gynecology | 60 Wild Rose Dr, Andover, MA 01810-4620 | 2007-01-04 |
| 1417064080 | Thomas Edward Davidson | Obstetrics & Gynecology | Andover Ob/gyn, 140 Haverhill, Andover, MA 01810 | 2006-08-23 |
| 1841267390 | Abby A Smith | Obstetrics & Gynecology | 323 Lowell St Ste 302, Andover, MA 01810-4501 | 2006-03-03 |
| 1629061247 | Sue Yeun Kim | Obstetrics & Gynecology | 140 Hoverhill St, Andover Ob/gyn, Andover, MA 01810 | 2005-08-30 |
| 1700069820 | Sarah Bethany Finch | Obstetrics & Gynecology | 140 Haverhill St, Andover, MA 01810 | 2007-12-12 |
| 1245316389 | Andrea B Polonsky | Obstetrics & Gynecology | 140 Haverhill St, C/o Andover Ob/gyn, Andover, MA 01810-1550 | 2006-10-31 |
| 1366480667 | Elise E Saks | Obstetrics & Gynecology | 140 Haverhill Street, Andover Ob/gyn, Andover, MA 01810 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205037 | The Practice Ob/gyn Steward, PC | Obstetrics & Gynecology | 275 Varnum Ave Ste 103, Lowell, MA 01854-2109 | 2020-08-12 |
| 1558905570 | Alliance Ob Gyn LLC | Obstetrics & Gynecology | 380 Merrimack St Ste 2a, Methuen, MA 01844-5871 | 2019-11-01 |
| 1235794041 | North Andover Women's Care Pllc | Obstetrics & Gynecology | 100 Andover Bypass, Suite 300, North Andover, MA 01845 | 2019-05-07 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1164909925 | Estefania D. Rivera Mudafort | Obstetrics & Gynecology | 850 Harrison Ave Fl 5, Boston, MA 02118-4001 | 2018-07-25 |
| 1376035881 | Erika R Wallace | Obstetrics & Gynecology | 800 Washington Street #22, Obgyn Residency Office, Boston, MA 02111 | 2018-05-31 |
| 1649760851 | Andrea Jaresova | Obstetrics & Gynecology | 330 Brookline Ave # Shapiro8, Boston, MA 02215-5491 | 2018-05-14 |
| 1063920767 | Jean Wilner Noel | Obstetrics & Gynecology | 11 Nevins St Ste 302, Boston, MA 02135-3514 | 2018-01-16 |
| 1740705243 | Ronan Paul Sugrue | Obstetrics & Gynecology | 75 Francis Street Brigham and Womens' Hospital, Department of Obstetrics and Gynecology, Boston, MA 02115 | 2017-08-07 |
| 1386173144 | Matthew Shear | Obstetrics & Gynecology | 330 Brookline Ave # 3, Boston, MA 02215-5400 | 2017-06-06 |
| Find all providers with the same taxonomy | ||||
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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.