ENT SURGERY ASSOCIATES, LLC (NPI# 1356682033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356682033 |
| Entity Type | Organization |
| Organization Name | ENT SURGERY ASSOCIATES, LLC |
| Practice Address |
725 Concord Ave 2300 Cambridge MA 02138-1040 |
| Practice Telephone | 6174999933 |
| Practice Fax Number | 6174999935 |
| Mailing Telephone | 6174999933 |
| Mailing Fax Number | 6174999935 |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |
| Authorized Official Name | JOHN JAMOULIS JAMESON (OWNER) |
| Authorized Official Telephone | 6174999933 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
72421 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110049047 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ENT SURGERY ASSOCIATES, LLC | 725 Concord Ave., Suite 2300, Cambridge, MA 02138 |
| Street Address |
725 CONCORD AVE 2300 |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684092 | Christine Mclaughlin | Internal Medicine | 725 Concord Ave, Ste 5200, Cambridge, MA 02138-1040 | 2005-07-28 |
| 1568993434 | Naris Ghazarians | Family Medicine | 725 Concord Ave, Cambridge, MA 02138-1040 | 2017-03-23 |
| 1013375203 | Mt Auburn Professional Services | Anesthesiology | 725 Concord Ave, Suite 4100, Cambridge, MA 02138-1040 | 2016-02-03 |
| 1861866436 | Frances Margaret Searle | Nurse Practitioner | 725 Concord Ave, Cambridge, MA 02138-1040 | 2015-11-19 |
| 1568839033 | Cambridge Neurosurgical Spinecare LLC | Neurological Surgery | 725 Concord Ave, Suite 2300, Cambridge, MA 02138-1040 | 2015-08-31 |
| 1982070173 | Crimson Foot and Ankle Specialists, LLC | Podiatrist | 725 Concord Ave, Suite 3600, Cambridge, MA 02138-1040 | 2015-08-11 |
| 1932584174 | Shira L Page | Nurse Practitioner | 725 Concord Ave, Cambridge, MA 02138-1040 | 2015-07-29 |
| 1700288388 | Krystal E Babalas | Nurse Practitioner | 725 Concord Ave, Cambridge, MA 02138-1040 | 2014-09-25 |
| 1649689878 | Anna Ost | Nurse Practitioner | 725 Concord Ave, Cambridge, MA 02138 | 2014-08-13 |
| 1477984185 | Legacy Foot and Ankle Specialists | Podiatrist | 725 Concord Ave, Suite 3600, Cambridge, MA 02138-1040 | 2013-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316006869 | Min S. Ahn, Md PC | Otolaryngology | 2 Connector Rd, Westborough, MA 01581-3969 | 2006-12-08 |
| 1285666719 | Frank P Fechner | Otolaryngology | 428 Shrewsbury St, Worcester, MA 01604-1661 | 2006-07-07 |
| 1689611295 | Ramsey Alsarraf | Otolaryngology | 69 Newbury St, The Newbury Center, Boston, MA 02116-3063 | 2006-06-01 |
| 1922076421 | Roger Allen Allcroft | Otolaryngology | 163 Conz St, Northampton, MA 01060-3848 | 2006-03-09 |
| 1689668915 | Central Ear Nose & Throat Assoc PC | Otolaryngology | 295 Lincoln St, Suite 101, Worcester, MA 01605-3639 | 2005-09-01 |
| 1134526429 | North Shore Ear, Nose & Throat | Otolaryngology | 104 Endicott St, Suire 100, Danvers, MA 01923-3623 | 2014-12-02 |
| 1750790663 | Nathan Jowett | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2014-08-05 |
| 1376888255 | Bethany J. King, Md, LLC | Otolaryngology | 61 Locust St, Ste. 2, Northampton, MA 01060-2546 | 2012-12-04 |
| 1659608180 | Bentkover Facial Plastic Surgery & Laser Center | Otolaryngology | 92 Montvale Ave., Suite 3000, Stoneham, MA 02180 | 2009-11-04 |
| 1487717310 | Usama Sami Hamdan | Otolaryngology | 28 Martingale Ln, Westwood, MA 02090-2900 | 2006-12-19 |
| 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.