DR. FARES GEORGES MOUCHANTAF (NPI# 1255476198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255476198 |
| Entity Type | Individual |
| Full Name | DR. FARES GEORGES MOUCHANTAF |
| Credential | M.D. |
| Practice Address |
Lahey Hospital and Medical Center 41 Mall Road Burlington MA 01805-0001 |
| Practice Telephone | 7817448480 |
| Practice Fax Number | 7817443443 |
| Mailing Telephone | 7817448480 |
| Mailing Fax Number | 7817443443 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2019-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
225515 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
225515 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110075967A | 05 |
| Street Address |
LAHEY HOSPITAL AND MEDICAL CENTER 41 MALL ROAD |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01805-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
| 1770059248 | Melissa Ann Ayer | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2018-10-22 |
| 1710461884 | Marina Cecilia Anastopoulos | Physician Assistant | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2018-09-24 |
| 1952882375 | Kimberlyn Austin | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2018-08-23 |
| 1972003366 | Nathan Haywood Hartwell | Pharmacist | Lahey Hospital and Medical Center, 41 Burlington Mall Rd, Burlington, MA 01805-0180 | 2018-02-13 |
| 1043718612 | Simple Mehmi | Registered Nurse | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2018-01-29 |
| 1154850402 | Marc Patrick Baker-bourgeois | Nurse Anesthetist, Certified Registered | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2017-06-09 |
| 1407383136 | Rojer Ranjit | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2017-05-12 |
| 1548704398 | Stephanie Louise Hansen | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2016-12-13 |
| 1851846687 | Ashley Brisebois | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
| 1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
| 1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
| 1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
| 1770588923 | Gene Wong | Radiology | 41 Mall Rd, Burlington, MA 01805 | 2005-06-15 |
| Find all providers in zip 01805 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1326477233 | Aasim Mohammed | Internal Medicine | 116 N Dodge St Ste 201, Burlington, WI 53105-1963 | 2013-11-01 |
| 1457421497 | Wagoner Medical Center, LLC | Internal Medicine | 605 East 7th Street, Burlington, IN 46915-0038 | 2006-11-08 |
| 1831205673 | Susan Patricia Dunning | Internal Medicine | 1 South Prospect Street, Arnold 2, Uvm Medical Center, Burlington, VT 05401 | 2006-08-22 |
| 1093737975 | Nova Medical Associates LLC | Internal Medicine | 2991 Crouse Ln, Burlington, NC 27215-8833 | 2006-07-23 |
| 1467433169 | Anil Khurana | Internal Medicine | 252 Mchenry St Ste 140, Burlington, WI 53105-1828 | 2005-11-09 |
| 1386085033 | Ramasubramanian Baalachandran | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2013-07-10 |
| 1710320056 | Marta Kokoszynska | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2013-04-16 |
| 1619230059 | Dhaval Thakkar | Internal Medicine | 41 Mall Rd, Burlington, MA 01805-0001 | 2012-06-20 |
| 1336448778 | Jessica Badlam | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401 | 2011-03-24 |
| 1053545459 | Daniel Scott Fitelson | Internal Medicine | 41 Mall Rd, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2009-05-13 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01805 |
Please comment or provide details below to improve the information on DR. FARES GEORGES MOUCHANTAF.
| 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.