DEDHAM MEDICAL ASSOC (NPI# 1316965999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316965999 |
| Entity Type | Organization |
| Organization Name | DEDHAM MEDICAL ASSOC |
| Practice Address |
One Lyons Street Dedham MA 02026 |
| Mailing Address |
Po Box 9120 Dedham MA 02027-9120 |
| Practice Telephone | 7813291400 |
| Practice Fax Number | 7812785667 |
| Mailing Telephone | 7813291400 |
| Mailing Fax Number | 7812785667 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD M RUSSO (CFO) |
| Authorized Official Telephone | 7812785540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
========= | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9766561 | 05 | |
| MA | 9766634 | 05 | |
| MA | 9766626 | 05 | |
| MA | 9766529 | 05 | |
| MA | 9766537 | 05 | |
| MA | 9766545 | 05 | |
| MA | 9766553 | 05 | |
| MA | 9766588 | 05 | |
| MA | 9766596 | 05 | |
| MA | 9766618 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | DEDHAM MEDICAL ASSOCIATES PARTNERSHIP | One Lyons Street, Dedham, MA 02026 |
| Massachusetts Corporations | DEDHAM MEDICAL ASSOCIATES, INC. | 743 High St, Dedham, MA 02026 |
| Street Address |
ONE LYONS STREET |
| City | DEDHAM |
| State | MA |
| Zip Code | 02026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952372872 | Julie J Bilgor | Physical Therapist | One Lyons Street, Dedham, MA 02026 | 2006-01-30 |
| 1740355197 | Betsy D Kontoleon | Internal Medicine | One Lyons Street, Dedham, MA 02026 | 2006-11-21 |
| 1992889711 | Corine Milgram | Nurse Practitioner | One Lyons Street, Dedham, MA 02026 | 2006-10-25 |
| 1932112117 | Dedham Medical Assoc Inc | Radiology | One Lyons Street, Dedham, MA 02026 | 2006-08-15 |
| 1023027745 | Stefanie Wong | Dentist | One Lyons Street, Dedham, MA 02026 | 2006-08-05 |
| 1326064312 | Dedham Medical Assoc Inc | Surgery | One Lyons Street, Dedham, MA 02026 | 2006-07-14 |
| 1659306942 | Dedham Medical Associates, Inc | Orthopaedic Surgery | One Lyons Street, Dedham, MA 02026 | 2006-07-12 |
| 1013942390 | Dedham Medical Assoc Inc | Podiatrist | One Lyons Street, Dedham, MA 02026 | 2006-07-12 |
| 1447280615 | Jay S Schwab | Dentist | One Lyons Street, Dedham, MA 02026 | 2006-07-04 |
| 1548236920 | Joseph L Andrews | Internal Medicine | One Lyons Street, Dedham, MA 02026 | 2006-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
| 1497354674 | Lifetime Physical Therapy | Physical Therapist | 453 Sprague St, Dedham, MA 02026 | 2020-10-20 |
| 1164060067 | Healthy Healing Home Care Agency LLC | In Home Supportive Care | 3 Allied Dr Suite 303, Dedham, MA 02026 | 2019-12-11 |
| 1689149023 | Alyssa Michel | Counselor | 20 E Astbrook Rd, Suite 104, Dedham, MA 02026 | 2018-10-12 |
| 1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
| 1598283848 | Jason Peltier | Physical Therapist | 606 Providence Highway, Dedham, MA 02026 | 2017-09-07 |
| 1558883371 | Padme Physical Therpay | Clinic/Center | 227 Legacy Place Boulevard, Stil Studio, Dedham, MA 02026 | 2017-07-13 |
| 1851828107 | Pm Pediatrics of New England | Pediatrics | 719 Providence Highway, Dedham, NY 02026 | 2017-05-17 |
| 1740715846 | Stil Legacy Dedham | Physical Therapist | 227 Legacy Place, Dedham, MA 02026 | 2017-04-26 |
| 1053856310 | Donald Hughes | Social Worker | 270 Bridge Street, Suite 301, Dedham, MA 02026 | 2016-12-22 |
| Find all providers in zip 02026 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1487859856 | L. John Clarke | Internal Medicine | 208 Village Ave, Dedham, MA 02026-4231 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396356556 | Lifestyle Medical and Cardiovascular Associates PC | Internal Medicine | 300 Boylston St Ste 201, Chestnut Hill, MA 02467-1978 | 2020-08-12 |
| 1083186498 | Cape Cardiology Md PC | Internal Medicine | 125 Underpass Rd, Brewster, MA 02631-1810 | 2018-12-24 |
| 1558868141 | Reading Cardiology Assoc. 2 PC | Internal Medicine | 21 Main St Ste 2, North Reading, MA 01864-5001 | 2018-04-10 |
| 1447768510 | Vhs Acquisition Subsidiary Number 7 Inc | Internal Medicine | 20 Washington Sq Fl 2, Worcester, MA 01604-4013 | 2018-01-11 |
| 1386165470 | Malik Bilal Ahmed | Internal Medicine | 800 Washington Street Mailbox #315, Boston, MA 02111 | 2017-06-29 |
| 1114370269 | Carol Lynn Goldstein | Internal Medicine | 19 Sengekontacket Rd, Edgartown, MA 02539-7829 | 2016-07-13 |
| 1760867667 | Chi Hong Chau | Internal Medicine | 400 Brookline Ave Apt 15a, Boston, MA 02215-5406 | 2015-07-21 |
| 1972916039 | Adam T Phillips | Internal Medicine | 185 Pilgrim Rd Fl Baker4, Boston, MA 02215 | 2014-06-06 |
| 1811315831 | Newburyport Cardiovascular Associates, LLC | Internal Medicine | 7 Henry Graf Jr. Road, Newburyport, MA 01950 | 2014-04-07 |
| 1760809818 | Subhasree Panchangam | Internal Medicine | 830 Harrison Ave Bldg 3500, Boston, MA 02118-2905 | 2014-03-26 |
| Find all providers with the same taxonomy | ||||
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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.