DR. KRISTIN LESLIE RATLIFF (NPI# 1326010877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326010877 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN LESLIE RATLIFF |
| Credential | M.D. |
| Practice Address |
360 Brockton Ave Abington MA 02351-2186 |
| Mailing Address |
680 Centre St Brockton MA 02302-3308 |
| Practice Telephone | 7818781701 |
| Practice Fax Number | 7818784375 |
| Mailing Telephone | 5089417885 |
| Mailing Fax Number | 5089416337 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2011-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 218712 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2015561 | 05 |
| Street Address |
360 BROCKTON AVE |
| City | ABINGTON |
| State | MA |
| Zip Code | 02351-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912991068 | Sridhar H Dasari | Internal Medicine | 360 Brockton Ave, Abington, MA 02351-2186 | 2005-09-06 |
| 1598121774 | Fitzgerald, Grazioso, & Kuczma | Clinic/Center | 360 Brockton Ave, Suite 204, Abington, MA 02351-2186 | 2016-01-04 |
| 1740551589 | Massachusetts Wellness Group | Exclusive Provider Organization | 360 Brockton Ave, Suite 203, Abington, MA 02351-2186 | 2012-01-25 |
| 1629379110 | Hahn Home Health Care Inc | Home Health | 360 Brockton Ave, Suite 204, Abington, MA 02351-2186 | 2010-11-15 |
| 1639407836 | Sarah Freitas | Physical Therapist | 360 Brockton Ave, Abington, MA 02351-2186 | 2009-11-27 |
| 1710148374 | Lauren C Blair | Physical Therapist | 360 Brockton Ave, Ste 205, Abington, MA 02351-2186 | 2008-06-17 |
| 1700074788 | Abington Pediatrics, PC | Pediatrics | 360 Brockton Ave, Ste102, Abington, MA 02351-2186 | 2007-10-04 |
| 1265648810 | Samuel Maghuyop | Internal Medicine | 360 Brockton Ave, Abington, MA 02351-2186 | 2007-05-14 |
| 1659431146 | Gary Charles Jordan | Internal Medicine | 360 Brockton Ave, Abington, MA 02351-2186 | 2006-12-12 |
| 1306918933 | Yara Fernandez | Pediatrics | 360 Brockton Ave, Suite 102, Abington, MA 02351-2186 | 2006-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972016855 | Shannon Broderick | Behavior Technician | 64 Bradford St, Abington, MA 02351 | 2017-11-14 |
| 1881006716 | Francia Toussaint | Behavioral Analyst | 6 Forsyth Drive, Apt 634, Abington, MA 02351 | 2014-05-27 |
| 1215198478 | Theresa Jeanne Mellen | Counselor | 10 Bedford Street, Abington, MA 02351 | 2008-06-20 |
| 1548347610 | United Church of Christ | Psychologist | 10 Bedford St, Abington, MA 02351 | 2006-11-01 |
| 1750491825 | Edward William Scoppettuolo Jr. | Dentist | 313 Adams St, Ste 202, Abington, MA 02351 | 2006-08-30 |
| 1700890183 | Scott Anthony Schipani | Dentist | 12 Lincoln Blvd, Abington, MA 02351 | 2006-07-28 |
| 1649529033 | Mario Corpuz | Registered Nurse | 536 Washington St, Abington, MA 02351 | 2012-08-31 |
| 1841528767 | Phillip M Koury | Dentist | 481 Bedford St, Abington, MA 02351 | 2009-12-04 |
| 1619019163 | Jennifer Ann Theberge Ierardi | Social Worker | 10 Bedford St, Abington, MA 02351 | 2007-02-13 |
| 1780725150 | Lois Anne Dipasqua | Counselor | 10 Bedford St, Abington, MA 02351 | 2007-02-09 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366835571 | Abington Memorial Hospital | Obstetrics & Gynecology | 1245 Highland Ave Ste 109, Abington, PA 19001-3722 | 2015-03-12 |
| 1093077927 | John Hebden Hopkinson IIi | Obstetrics & Gynecology | 1828 Hemlock Cir, Abington, PA 19001-4706 | 2012-06-15 |
| 1508975210 | Lynn S Friedman | Obstetrics & Gynecology | 1200 Old York Rd Fl Ground, Abington, PA 19001-3720 | 2006-08-29 |
| 1538176003 | Ron Hoffmann | Obstetrics & Gynecology | 1245 Highland Ave Ste 306, Abington, PA 19001-3724 | 2006-08-01 |
| 1063456705 | Joel I Polin | Obstetrics & Gynecology | 1235 Higland Ave, Suite 109, Abington, PA 19001 | 2006-06-15 |
| 1942206040 | Amy Mackey | Obstetrics & Gynecology | 1200 Old York Rd Fl Toll, Abington, PA 19001-3720 | 2005-06-23 |
| 1083242689 | Sarah Gleberman | Obstetrics & Gynecology | 1200 Old York Rd, Abington, PA 19001-3788 | 2020-03-30 |
| 1265078315 | Abington Memorial Hospital | Obstetrics & Gynecology | 1245 Highland Ave Ste 306, Abington, PA 19001-3724 | 2019-11-25 |
| 1124512330 | Kacey Marie Hamilton | Obstetrics & Gynecology | 1200 Old York Rd, Abington, PA 19001-3788 | 2018-06-20 |
| 1114411998 | Jessica Ka Wai Cheung | Obstetrics & Gynecology | 1200 Old York Rd, Obgyn Center, Ground Floor Toll, Abington, PA 19001-3788 | 2018-06-15 |
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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.