LUZBELLA M. SOUTHARD


Address: 14 Ross Ave, Basement Left, Millis, MA 02054-1545
Phone: 5083760114

LUZBELLA M. SOUTHARD (NPI# 1306995170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306995170
Entity Type Individual
Full Name LUZBELLA M. SOUTHARD
Credential M.D.
Practice Address 14 Ross Ave
Basement Left
Millis
MA 02054-1545
Practice Telephone 5083760114
Practice Fax Number 5083769592
Mailing Telephone 5083760114
Mailing Fax Number 5083769592
Enumeration Date 2007-01-09
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0000X Internal Medicine
Specialization: Hematology
41938 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 0182842 05
MA HARVARD PILGRIM HEALTHCAR 6274 01
MA TUFTS HEALTH CARE 738314 01

Office Location

Street Address 14 ROSS AVE
BASEMENT LEFT
City MILLIS
State MA
Zip Code 02054-1545

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Taxonomy Information

Taxonomy Code 207RH0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology

Taxonomy Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114018850 Mary Paula Lutz Internal Medicine 200 West Street, Parexel International, Waltham, MA 02154 2006-09-27
1639181613 Donald P Lawrence Internal Medicine 55 Fruit Street Yaw 9, Hematology Oncology, Boston, MA 02114 2006-08-11
1750329058 Jacalyn M Rosenblatt Internal Medicine 330 Brookline Avenue, Ks-121, Beth Israel Deaconess Hospital, Boston, MA 02215 2006-06-02
1922066158 Burt Alan Adelman Internal Medicine 14 Cambridge Center, Biogen Idec, Cambridge, MA 02142 2006-05-04
1972982650 Johnathan Mack Internal Medicine 55 Fruit Street, Massachusetts General Hospital, Blood Bank, Grj-238, Boston, MA 02114 2015-05-27
1235537093 Associated Physicians of Harvard Medical Faculty Physicians At Beth Is Internal Medicine 1 Wallace Bashaw Way, Suite 2001, Newburyport, MA 01950-3875 2014-12-10
1902217714 Bwpo Dept of Medicine Internal Medicine 111 Cypress St, Brookline, MA 02445-6002 2014-05-14
1972945442 Francois Mercier Internal Medicine 185 Cambridge St, Cpzn # 4400, Boston, MA 02114-2790 2013-07-24
1023457819 Andrew Hantel Internal Medicine 450 Brookline Ave, Boston, MA 02215-5418 2013-06-14
1043555139 Cindy Varga Internal Medicine 830 Harrison Ave, Boston, MA 02118-2905 2012-11-30
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Competitor

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City MILLIS
Zip Code 02054

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Dataset Information

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.

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