SUSAN W HARDT (NPI# 1265507412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265507412 |
Entity Type | Individual |
Full Name | SUSAN W HARDT |
Credential | MD |
Practice Address |
1493 Cambridge St Primary Care Center Cambridge MA 02139-1047 |
Practice Telephone | 6176651068 |
Mailing Telephone | 6176651068 |
Enumeration Date | 2006-11-22 |
Last Update Date | 2011-12-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 56517 | MA | Allopathic & Osteopathic Physicians |
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
56517 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 3020924 | 05 | |
MA | BCBS MA | J06459 | 01 |
Street Address |
1493 CAMBRIDGE ST PRIMARY CARE CENTER |
City | CAMBRIDGE |
State | MA |
Zip Code | 02139-1047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871590950 | Blake Cady | Surgery | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2005-07-05 |
1144821349 | Christina Marie Harris | Speech-Language Pathologist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-11-04 |
1558961128 | Rose M Jacob | Registered Nurse | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-10-31 |
1174122360 | Emilee Grace Abraham | Speech-Language Pathologist | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2020-10-20 |
1790384964 | Jillian Christine Fernandez | Occupational Therapist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-10-20 |
1447859624 | Ryan J Wallace | Pharmacist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-10-20 |
1376141606 | Angela Gonzalez | Registered Nurse | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-10-09 |
1669079646 | Ashley Simmons | Occupational Therapist | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2020-10-03 |
1831706159 | Valerie Anne Roberson | Registered Nurse | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2020-09-30 |
1578170809 | Deborah Lee Trujillo | Licensed Practical Nurse | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-09-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
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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 |
---|---|---|---|---|
1568681609 | Mark J Simone-skdimore | Internal Medicine | 300 Mount Auburn St Ste 517, Cambridge, MA 02138-5665 | 2007-04-25 |
1619082674 | Alan P Abrams | Internal Medicine | 65 Museum St, #2, Cambridge, MA 02138-1921 | 2006-08-20 |
1194887414 | William Zinn | Internal Medicine | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2006-12-14 |
1659373033 | Cherie Noe | Internal Medicine | 300 Mount Auburn St, Ste 517, Cambridge, MA 02138-5600 | 2005-08-15 |
1316949712 | Asma Tahir | Internal Medicine | 300 Mount Auburn St, Ste 517, Cambridge, MA 02138-5600 | 2005-08-15 |
1568462620 | John Anderson | Internal Medicine | 300 Mount Auburn St, Ste 517, Cambridge, MA 02138-5600 | 2005-07-29 |
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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.