NANCY ANN SHADICK (NPI# 1356307292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356307292 |
Entity Type | Individual |
Full Name | NANCY ANN SHADICK |
Credential | MD |
Practice Address |
111 Cypress St Brookline MA 02445-6002 |
Practice Telephone | 8573070896 |
Mailing Telephone | 8573070896 |
Enumeration Date | 2006-04-20 |
Last Update Date | 2012-05-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
71058 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 3087433 | 05 |
Street Address |
111 CYPRESS ST |
City | BROOKLINE |
State | MA |
Zip Code | 02445-6002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093706459 | Sarah Schmidt Grant | Internal Medicine | 111 Cypress St, Brookline, MA 02445-6002 | 2005-11-03 |
1902217714 | Bwpo Dept of Medicine | Internal Medicine | 111 Cypress St, Brookline, MA 02445-6002 | 2014-05-14 |
1003146879 | Claus Reinsberger | Psychiatry & Neurology | 111 Cypress St, Brigham and Women's Hospital Po, Brookline, MA 02445-6002 | 2009-12-30 |
1376778761 | Elgida Radoncipi Volpicelli | Pathology | 111 Cypress St, Brookline, MA 02445-6002 | 2009-05-28 |
1376785022 | Joshua Ryan Leo | Psychiatry & Neurology | 111 Cypress St, Brookline, MA 02445-6002 | 2009-03-26 |
1104085141 | Benjamin Z Galper | Internal Medicine | 111 Cypress St, Brigham and Women's Hospital, Brookline, MA 02445-6002 | 2008-06-05 |
1134392723 | Paul Andrew Vanderlaan | Student in an Organized Health Care Education/Training Program | 111 Cypress St, Brookline, MA 02445-6002 | 2008-04-04 |
1790842664 | Dan L. Longo | Internal Medicine | 111 Cypress St, Brookline, MA 02445-6002 | 2007-01-02 |
1518064211 | Jeffrey Liou | Psychiatry & Neurology | 111 Cypress St, Brookline, MA 02445-6002 | 2006-09-17 |
1902917446 | Scott A Shikora | Surgery | 111 Cypress St, Brookline, MA 02445-6002 | 2006-08-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
Find all providers in zip 02445 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366481368 | Fred G Kantrowitz | Internal Medicine | 1101 Beacon St, # 4w, Brookline, MA 02446-5587 | 2006-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164041349 | American Arthritis & Rheumatology Associates Ma PC | Internal Medicine | 1351 Main St Ste 5, Brockton, MA 02301-7153 | 2020-04-08 |
1144757337 | Gertrud M. Rastalsky Md LLC | Internal Medicine | 822 Boylston St Ste 100, Chestnut Hill, MA 02467-2504 | 2017-05-18 |
1124405105 | Elizabeth T Curtis, Md | Internal Medicine | 867 Turnpike St, North Andover, MA 01845-6142 | 2015-04-29 |
1093109142 | Benjamin Patrick Persons | Internal Medicine | 725 Albany St Ste 7b, Boston, MA 02118 | 2015-03-26 |
1295145811 | Chio Yokose | Internal Medicine | 55 Fruit Street Bulfinch 165, Boston, MA 02114 | 2014-05-05 |
1487096996 | Dilpreet Kaur Singh | Internal Medicine | 3377 Main Street, Springfield, MA 01107-1111 | 2013-07-25 |
1346681038 | Linet Martirossian | Internal Medicine | 72 E Concord St Fl 5, Boston, MA 02118-2307 | 2013-07-10 |
1710112685 | Robert S Pinals | Internal Medicine | 18 Pickman Dr, Bedford, MA 01730-1005 | 2009-05-21 |
1982854154 | Noreen F. Bedini Ferrante | Internal Medicine | 1 Lyons St., Dedham Medical Associates, Inc., Dedham, MA 02026 | 2008-09-24 |
1518132059 | Barton L Wise | Internal Medicine | 720 Harrison Ave Ste 401, Boston, MA 02118-2371 | 2008-04-25 |
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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.