DEDHAM MEDICAL ASSOC INC (NPI# 1326064312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326064312 |
| Entity Type | Organization |
| Organization Name | DEDHAM MEDICAL ASSOC INC |
| 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 | 2006-07-14 |
| 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 | 2086S0129X |
Surgery Specialization: Vascular Surgery |
TAX ID ========= | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9766545 | 05 | |
| MA | 9766588 | 05 | |
| MA | 9766626 | 05 | |
| MA | 9766634 | 05 | |
| MA | 9766553 | 05 | |
| MA | 9766596 | 05 | |
| MA | 9766561 | 05 | |
| MA | 97666618 | 05 | |
| MA | 9766529 | 05 | |
| MA | 9766537 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407860968 | Dedham Medical Assoc Inc | Urology | One Lyons St, Dedham, MA 02026 | 2006-07-28 |
| 1932112117 | Dedham Medical Assoc Inc | Radiology | One Lyons Street, Dedham, MA 02026 | 2006-08-15 |
| 1013942390 | Dedham Medical Assoc Inc | Podiatrist | One Lyons Street, Dedham, MA 02026 | 2006-07-12 |
| 1205836376 | Dedham Medical Assoc Inc | Dentist | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1922008093 | Dedham Medical Assoc Inc | Audiologist | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1831199900 | Dedham Medical Assoc Inc | Dietitian, Registered | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1740280817 | Dedham Medical Assoc Inc | Pediatrics | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1902806078 | Dedham Medical Assoc Inc | Physical Therapist | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1548260615 | Dedham Medical Assoc Inc | Physical Medicine & Rehabilitation | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1366442436 | Dedham Medical Assoc Inc | Obstetrics & Gynecology | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 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 |
| 1316965999 | Dedham Medical Assoc | Internal Medicine | One Lyons Street, Dedham, MA 02026 | 2006-07-18 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815022 | Stephen J. Hoenig, Md, PC | Surgery | 114 Merriam Ave Ste 101, Leominster, MA 01453-3175 | 2020-09-15 |
| 1578084588 | Stephen J. Hoenig, Md, PC | Surgery | 50 Memorial Dr Ste 112, Leominster, MA 01453-2238 | 2017-06-29 |
| 1760776124 | Brad Sherman Oriel | Surgery | 955 Main St Ste G2a, Winchester, MA 01890-1992 | 2011-06-02 |
| 1750697157 | Dorothy Virginia Freeman | Surgery | 21 Washburn Ave, Wellesley, MA 02481-5263 | 2010-08-23 |
| 1245551696 | Khaled A. Yehia Md | Surgery | 178 Savin St Ste 500, Malden, MA 02148-2329 | 2010-06-21 |
| 1932332707 | Usa Vein Clinics of Boston LLC | Surgery | 1208b Vfw Pkwy Ste 300, West Roxbury, MA 02132-4350 | 2009-08-27 |
| 1255563334 | Samuel Schwartz | Surgery | 15 Parkman St # 440, Boston, MA 02114-3117 | 2009-08-21 |
| 1053551838 | Jonathan Paull Gertler | Surgery | 15 Westcliff Rd, Weston, MA 02493-1409 | 2009-03-06 |
| 1093952939 | Sarah Carlson | Surgery | 1400 Vfw Pkwy # 1c-105, West Roxbury, MA 02132-4927 | 2009-01-14 |
| 1437314325 | Sandip T Maru | Surgery | 2 Hospital Dr Ste 2013, Holyoke, MA 01040 | 2008-07-21 |
| 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.