DR. RICHARD SHOCKLEY (NPI# 1316923493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316923493 |
| Entity Type | Individual |
| Full Name | DR. RICHARD SHOCKLEY |
| Credential | MD |
| Practice Address |
690 Canton St Ste 240 Westwood MA 02090-2326 |
| Practice Telephone | 3392049516 |
| Practice Fax Number | 8145946987 |
| Mailing Telephone | 3392049516 |
| Mailing Fax Number | 8145946987 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 73011 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3078744 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194775502 | Richard A. Shockley | Dentist | 706 W Centre Ave, Portage, MI 49024-5310 | 2006-05-10 |
| Street Address |
690 CANTON ST STE 240 |
| City | WESTWOOD |
| State | MA |
| Zip Code | 02090-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083609754 | Carolyn Aldredge | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2005-09-19 |
| 1497271662 | Marissa Mattei | Nurse Anesthetist, Certified Registered | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2017-08-18 |
| 1952789166 | Katherine Elizabeth Nixon | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2015-05-08 |
| 1548659535 | Rebekah Korn Melton | Nurse Anesthetist, Certified Registered | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2015-01-14 |
| 1316298672 | Daniel Vasquez | Nurse Anesthetist, Certified Registered | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2012-09-27 |
| 1790041176 | Zachary Glicksman | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2012-04-10 |
| 1710298278 | Sana Hussaini Zaidi | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2010-06-29 |
| 1154632958 | Svetla Kurteva Yordanov | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2010-06-25 |
| 1598076614 | Elizabeth Ann Moore | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2010-06-23 |
| 1245370162 | Shihchung Albert Woo | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2007-02-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144782467 | Partners Urgent Care, LLC | Clinic/Center | 90 Brigham Way, Westwood, MA 02090 | 2019-04-04 |
| 1659860351 | Shiqian Shen | Dentist | 100 High St Lowr Level, Westwood, MA 02090 | 2018-05-08 |
| 1326585951 | Urgent Care of Westwood, LLC | Clinic/Center | 211 University Avenue, Westwood, MA 02090 | 2017-01-20 |
| 1538419403 | Kevin L Longval | Counselor | 24 Willow St., Westwood, MA 02090 | 2012-09-18 |
| 1952590846 | Ann Marie Leahy | Registered Nurse | 31 Carroll Avenue, Westwood, MA 02090 | 2007-10-17 |
| 1144363524 | Lauren E Dore | Acupuncturist | Westwood Wellness Center, 745 High Street, Westwood, MA 02090 | 2007-02-15 |
| 1033258827 | Heena K Lee | Pediatrics | Westwood Mansfield Pediatric Assoc, 541 High Street, Westwood, MA 02090 | 2007-02-06 |
| 1730241324 | Stephen William Stolfors | Counselor | 789 Clapboarttree Street, Westwood, MA 02090 | 2006-12-14 |
| 1225106859 | Paul H Arkema | Psychiatry & Neurology | 45 Clpaboardtree Street, Westwood, MA 02090 | 2006-12-01 |
| 1134292097 | Marc Andre Pizzuto | Social Worker | 725 High St Ste 200, Westwood, MA 02090 | 2006-11-16 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336207240 | Aida Hamdan | Anesthesiology | 28 Martingale Ln, Westwood, MA 02090-2900 | 2006-12-04 |
| 1083633390 | Neil A. Mcdonald | Anesthesiology | 690 Canton St., Suite 325, Westwood, MA 02090-2329 | 2006-07-18 |
| 1225006117 | Jie Jin | Anesthesiology | 250 Old Hook Road 2nd Floor, Westwood, NJ 07675 | 2006-03-08 |
| 1679540850 | Frank D Iuliano | Anesthesiology | 250 Old Hook Rd 2nd Floor, Westwood, NJ 07675 | 2006-03-07 |
| 1093791345 | Robert P Loebelenz | Anesthesiology | 690 Canton Street, Suite 325, Westwood, MA 02090-2321 | 2005-12-19 |
| 1083609754 | Carolyn Aldredge | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2005-09-19 |
| 1801893763 | William J Penhallurick | Anesthesiology | 690 Canton St, Suite 325, Westwood, MA 02090-2321 | 2005-07-06 |
| 1952789166 | Katherine Elizabeth Nixon | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2015-05-08 |
| 1619230521 | Babak Sadighi | Anesthesiology | 690 Canton St, Ste 325, Westwood, MA 02090-2324 | 2012-06-18 |
| 1790041176 | Zachary Glicksman | Anesthesiology | 690 Canton St Ste 240, Westwood, MA 02090-2326 | 2012-04-10 |
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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.