STEWARD MEDICAL GROUP, INC (NPI# 1255600300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255600300 |
| Entity Type | Organization |
| Organization Name | STEWARD MEDICAL GROUP, INC |
| Other Organization Name | SMG COMPASS |
| Practice Address |
500 Boylston St Boston MA 02116-3740 |
| Practice Telephone | 6154674158 |
| Practice Fax Number | 6154671267 |
| Mailing Telephone | 6174194700 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | MICHAEL CALLUM (CEO) |
| Authorized Official Telephone | 6174194702 |
| Is Organization Subpart | Y |
| Parent Organization Name | STEWARD HEALTHCARE SYSTEM LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SMG Compass | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972073716 | Steward Medical Group, Inc | Radiology | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-12-04 |
| 1134697923 | Steward Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 531 Faunce Corner Rd, North Dartmouth, MA 02747-1242 | 2018-11-09 |
| 1043711914 | Steward Medical Group, Inc | Nurse Anesthetist, Certified Registered | 795 Middle St, Fall River, MA 02721-1733 | 2018-02-26 |
| 1962881078 | Steward Medical Group, Inc | Clinic/Center | 1 Pearl St, Suite 1800, Brockton, MA 02301-2864 | 2015-05-21 |
| 1780937326 | Steward Medical Group, Inc | Physical Therapist | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2012-10-19 |
| 1821349317 | Steward Medical Group, Inc | Internal Medicine | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2012-09-25 |
| 1336496405 | Steward Medical Group, Inc | Physical Medicine & Rehabilitation | 500 Boylston St, Boston, MA 02116-3740 | 2012-08-08 |
| 1013220151 | Steward Medical Group, Inc | Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2010-07-19 |
| 1356654495 | Steward Medical Group, Inc | Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2010-07-19 |
| 1629398219 | Steward Medical Group, Inc | Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2010-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporation Entity | STEWARD MEDICAL GROUP, INC. | 111 EIGHTH AVENUE , NEW YORK, NEW YORK 10011 |
| Massachusetts Corporation | STEWARD MEDICAL GROUP, INC. | 500 BOYLSTON ST. , BOSTON, MA 02116 |
| Street Address |
500 BOYLSTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02116-3740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962812149 | Steward Medical Group Express Care, Inc | Emergency Medicine | 500 Boylston St, Boston, MA 02116-3740 | 2014-04-28 |
| 1972935666 | Caregiver Homes of Texas Inc. | Custodial Care Facility | 500 Boylston St, Suite 640, Boston, MA 02116-3740 | 2013-08-05 |
| 1336496405 | Steward Medical Group, Inc | Physical Medicine & Rehabilitation | 500 Boylston St, Boston, MA 02116-3740 | 2012-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
| 1255859757 | Carolyn Jamie Kussmaul | Physician Assistant | 216 Beacon Street Apt 1, Boston, MA 02116 | 2017-09-05 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| Find all providers in zip 02116 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1265042832 | Rinat Nuriev | Internal Medicine | 530 Western Ave Apt 404, Boston, MA 02135-1036 | 2020-08-07 |
| 1831726595 | James Dotimas | Internal Medicine | 801 Massachusetts Ave Ste 6c, Boston, MA 02118-2605 | 2020-03-24 |
| 1487291100 | Evolvd Health | Internal Medicine | 85 Brainerd Rd Apt 108, Boston, MA 02134-4529 | 2019-12-01 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| 1699237081 | Steven Lynn St Peter | Internal Medicine | 43 Union Park Apt 2, Boston, MA 02118-3702 | 2019-04-03 |
| 1083174478 | Kevin Stirling | Internal Medicine | Shapiro Primary Care 725 Albany Street, 5b/c Precepting Room, Boston, MA 02118 | 2019-03-21 |
| 1477042737 | Theofanis Kalathas | Internal Medicine | 725 Albany Street, Shapiro 5d6, Boston, MA 02118 | 2018-05-02 |
| 1801309521 | Firefly Health | Internal Medicine | 361 Newbury St Fl 5, Boston, MA 02115-2738 | 2017-11-16 |
| 1104346527 | Jodian Amor Pinkney | Internal Medicine | 55 Fruit St # 130, Boston, MA 02114-2621 | 2017-06-27 |
| 1568982502 | Priyanka Ballal | Internal Medicine | 725 Albany Street, Shapiro 586, Boston, MA 02118-2526 | 2017-06-21 |
| Find all providers in BOSTON | ||||
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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.