DR. SHENBAGAM DEWAR (NPI# 1255323747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255323747 |
Entity Type | Individual |
Full Name | DR. SHENBAGAM DEWAR |
Other Name | SHENBAGAM VEERAPUTHIRAN |
Credential | MD |
Practice Address |
564 Main St Waltham MA 02452-5516 |
Mailing Address |
3621 South State Street 700 Kms Place Ann Arbor MI 48108 |
Practice Telephone | 7816933800 |
Mailing Telephone | 7349362047 |
Enumeration Date | 2005-08-19 |
Last Update Date | 2016-10-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 4301108515 | MI | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 230753 | MA | Allopathic & Osteopathic Physicians |
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
4301108515 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A871530 | 05 | |
CA | GR0003490 | 05 |
Street Address |
564 MAIN ST |
City | WALTHAM |
State | MA |
Zip Code | 02452-5516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952916157 | Paul Fath | Physical Therapist | 564 Main St, Waltham, MA 02452-5516 | 2020-09-14 |
1063033231 | Chiara Alicia Amendola | Behavioral Analyst | 564 Main St, Waltham, MA 02452-5516 | 2020-04-29 |
1063067916 | Dominique Nicole Auger | Physical Therapist | 564 Main St, Waltham, MA 02452-5516 | 2019-08-07 |
1255898151 | Adrielle Rose Tobias | Physical Therapist | 564 Main St, Waltham, MA 02452-5516 | 2019-02-27 |
1568946531 | Evan Wright Mills | Physical Therapist | 564 Main St, Waltham, MA 02452-5516 | 2018-09-17 |
1639695653 | Jessica Bonchi | Physical Therapist | 564 Main St, Waltham, MA 02452-5516 | 2017-08-22 |
1235528050 | Christa L Jean-baptiste | Nurse Practitioner | 564 Main St, Waltham, MA 02452-5516 | 2015-01-16 |
1518362326 | Elizabeth Lamay | Physical Therapist | 564 Main St, Waltham, MA 02452-5516 | 2014-10-23 |
1063812477 | Andrew Young | Physical Therapist | 564 Main St, Waltham, MA 02452-5516 | 2014-09-04 |
1790045748 | Mark Hansberry | Physical Therapist | 564 Main St, Waltham, MA 02452-5516 | 2012-05-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
1750879383 | Rosemary Klein | Psychologist | Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 | 2018-04-30 |
1497256374 | Chithra Susan Kuriakose | Nurse Practitioner | Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 | 2018-02-26 |
1861883001 | Melanie H Deveikas | Physical Therapist | 425 Waverley Oaks Rd, Waltham, MA 02452 | 2015-02-10 |
1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
1326462557 | Ann M Fletcher | Social Worker | 100 Church St., Waltham, MA 02452 | 2014-02-07 |
1801239397 | Rainbow Adhc of Waltham | Clinic/Center | 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 | 2013-04-15 |
1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
1265618839 | Anita Lynn Hurd | Registered Nurse | 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 | 2008-01-14 |
Find all providers in zip 02452 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
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 |
---|---|---|---|---|
1902806219 | W. Vincent Perrelli | Internal Medicine | 671 Main St, Waltham, MA 02451-0602 | 2005-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609487834 | Dsmd Consulting LLC | Internal Medicine | 7 Michelle Dr, Burlington, MA 01803-4510 | 2020-08-12 |
1013535632 | Alzheimers Disease Center | Internal Medicine | 54 Miller St Fl 4, Quincy, MA 02169-4725 | 2020-07-09 |
1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
1306220900 | Mariuxi Alexandra Viteri Malone | Internal Medicine | 725 Albany Street, Shapiro 9, Boston, MA 02118 | 2015-07-13 |
1548640105 | At Care, Pllc | Internal Medicine | 907 East St, Carlisle, MA 01741-1214 | 2015-06-08 |
1043620545 | Cynthia Schoettler | Internal Medicine | 110 Francis St Ste 1a, Boston, MA 02215 | 2014-05-06 |
1356778146 | East Coast Medical Associates Pllc | Internal Medicine | 149 Ashley St, Fall River, MA 02720-1511 | 2013-10-11 |
1437454287 | Geriatric Internal Medicine Specialists, LLC | Internal Medicine | 2 Kirkat Way, North Dartmouth, MA 02747-3860 | 2011-01-25 |
1306161443 | Aco Health Solutions, LLC | Internal Medicine | 651 Orchard St Ste 206, New Bedford, MA 02744-1007 | 2010-04-01 |
1013178698 | Geriatric Solutions | Internal Medicine | 370 Read St, Seekonk, MA 02771-1405 | 2008-06-17 |
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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.