DR. ANDRE J WITKIN (NPI# 1285811216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285811216 |
| Entity Type | Individual |
| Full Name | DR. ANDRE J WITKIN |
| Credential | M.D. |
| Practice Address |
800 Washington St Box 450 Boston MA 02111-1552 |
| Mailing Address |
800 Washington St Boston MA 02111-1552 |
| Practice Telephone | 9176473829 |
| Mailing Telephone | 6176365000 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2020-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MD439612 | PA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 250825 | MA | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
15686 | NH | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
250825 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3081668 | 05 | |
| MA | 110093174A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 155 Borthwick Ave Ste 200e, Portsmouth, NH 038014184 | 6034361773 | 6034270655 |
| Street Address |
800 WASHINGTON ST BOX 450 |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848643 | Christopher B. Geary | Orthopaedic Surgery | 800 Washington St, Box 306, Boston, MA 02111-1552 | 2005-06-01 |
| 1720687767 | Johnson Ching | Pharmacist | 800 Washington St, Boston, MA 02111-1552 | 2020-10-21 |
| 1174120075 | Sarah Woodruff | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2020-10-04 |
| 1255946448 | Tufts Medical Center | Surgery | 800 Washington St, Boston, MA 02111-1552 | 2020-09-14 |
| 1639784408 | Pankaj Jain | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2020-09-09 |
| 1053926907 | Arlind Decka | Surgery | 800 Washington St, Boston, MA 02111-1552 | 2020-09-08 |
| 1518571124 | Abdulrahman Mohammad Alshiban | Psychiatry & Neurology | 800 Washington St, Boston, MA 02111-1552 | 2020-09-01 |
| 1922610229 | Taylor Elizabeth Maffett | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2020-08-18 |
| 1467063685 | Heather April Mills Tong | Physical Therapist | 800 Washington St, Boston, MA 02111-1552 | 2020-08-11 |
| 1245840032 | Lindsey Holland | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2020-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| Find all providers in zip 02111 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869839 | Brian Ballios | Ophthalmology | 243 Charles St Rm 319, Boston, MA 02114-3002 | 2020-07-30 |
| 1285258236 | Cris Martin Pacis Jacoba | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2020-06-05 |
| 1861979528 | Siamak Shokrollahi | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5394 | 2018-07-25 |
| 1497241962 | Omar Mohammed Abdelal | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2018-07-07 |
| 1982126769 | Mohamed Ashraf Elmasry | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2017-07-12 |
| 1205361763 | Alex Umali Pisig | Ophthalmology | One Joslin Place, Beetham Eye Institute, Joslin Diabetes Center, Boston, MA 02215 | 2017-04-21 |
| 1255495651 | Vasiliki Poulaki | Ophthalmology | 243 Charles St, Boston, MA 02114 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843937 | North Shore Retina Pllc | Ophthalmology | 900 Cummings Ctr Ste 308v, Beverly, MA 01915-6181 | 2020-08-24 |
| 1710953690 | Shahrokh Charles Khani | Ophthalmology | 900 Cummings Center, Suite 303v, Beverly, MA 01915-6181 | 2006-02-28 |
| 1104303858 | Elite Bor-shavit | Ophthalmology | 479 Old Union Tpke, Lancaster, MA 01523 | 2018-07-25 |
| 1194957803 | S. Charles Khani, M.d. Phd, P.C. | Ophthalmology | 900 Cummings Ctr, Suite 308v, Beverly, MA 01915-6198 | 2009-08-13 |
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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.