DR. JOSEPH HENRY DANNENBAUM IV (NPI# 1386943777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386943777 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH HENRY DANNENBAUM IV |
| Credential | M.D. |
| Practice Address |
125 Parker Hill Ave Boston MA 02120-2847 |
| Mailing Address |
9040 Jackson Ave Tacoma WA 98431-0001 |
| Practice Telephone | 6177546742 |
| Mailing Telephone | 2539681484 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 26976 | NE | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | TP814 | KY | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
278065 | MA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 26976 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 Keeton Dr, Hopkinsville, KY 422408756 | 1270889070 | |
| 650 Joel Dr, Fort Campbell, KY 422235318 | 2707988426 | |
| 9040 Jackson Ave, Tacoma, WA 984310001 | 2539681484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922138189 | Joseph Henry Dannenbaum IIi | Specialist/Technologist | Tamu Ms 4243, College Station, TX 77843-4243 | 2007-03-06 |
| Street Address |
125 PARKER HILL AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02120-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649896382 | Stephan C Bruni | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2020-06-18 |
| 1326675315 | Pdc Spine PC | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2020-03-27 |
| 1558911248 | Sara Flynn Gosselin | Pharmacist | 125 Parker Hill Ave, Boston, MA 02120 | 2019-09-16 |
| 1104486133 | Amanda Thomas | Pharmacist | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2019-06-20 |
| 1376021758 | Dawn Kalloch Murphy | Social Worker | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-30 |
| 1962980342 | Carla Susan Hill | Social Worker | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-30 |
| 1629555784 | Katherine Rose Bellanti | Registered Nurse | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-23 |
| 1184100802 | Ajb Orthopedics, Pllc | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-16 |
| 1346758380 | Michelle Anne Doherty | Nurse Practitioner | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-01-11 |
| 1508370974 | Ashley Margaret Wolusky | Nurse Practitioner | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2017-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244735 | Alicia Hoffman | Occupational Therapist | 71 Alleghany Street, Boston, MA 02120 | 2020-01-22 |
| 1376193110 | Katherine Wiley | Student in an Organized Health Care Education/Training Program | 71 Allegheny Street, Boston, MA 02120 | 2019-09-13 |
| 1073171971 | Kyana Figueroa | Community/Behavioral Health | 4 Sussex St, Roxbury, MA 02120 | 2019-06-05 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1811424005 | Christopher Lim | Student in an Organized Health Care Education/Training Program | 1620 Tremont St, One Brigham Circle, Radiology Administration, Boston, MA 02120 | 2017-05-18 |
| 1609328178 | Nikhil A Sangave | Pharmacist | 1290 Tremont St Fl 3, Boston, MA 02120 | 2016-10-31 |
| 1417232968 | Hrc Corp Inc | Pharmacy | 201 Humboldt Avenue, Dorchester, MA 02120 | 2011-10-17 |
| 1689957722 | Hrd Corp, Inc | Pharmacy | 201 Humboldt Ave, Dorchester, MA 02120 | 2011-09-26 |
| 1841580453 | Alessandro Villa | Dentist | 1620 Tremont Street, Suite Bc-3-028, Division of Oral Medicine & Dentistry Bwh, Boston, MA 02120 | 2011-04-15 |
| 1043446859 | Sara King | Internal Medicine | 1290 Tremont Street, Boston, MA 02120 | 2009-06-08 |
| Find all providers in zip 02120 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881753242 | Harris S Yett | Orthopaedic Surgery | Bidmc - Dept of Orhtopaedics, 330 Brookline Ave, Boston, MA 02115 | 2006-12-08 |
| 1497847982 | John Mcarthur Harris IIi | Orthopaedic Surgery | 150 South Huntington Avenue (112), Dva Boston Healthcare System, Boston, MA 02130 | 2006-09-29 |
| 1184100802 | Ajb Orthopedics, Pllc | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-16 |
| 1679075410 | Krysta Kayla Cass | Orthopaedic Surgery | 330 Brookline Ave, Boston, MA 02215-5400 | 2018-03-07 |
| 1407240062 | Daniel R Schmitt | Orthopaedic Surgery | 125 Parker Hill Avenue, Boston, MA 02120 | 2015-03-22 |
| 1952690455 | Tiffany Nicole Castillo | Orthopaedic Surgery | 55 Fruit St, Boston, MA 02114-2621 | 2011-04-05 |
| 1225365430 | Antonio Gomez | Orthopaedic Surgery | 180 Brookline Ave, Apt 339, Boston, MA 02215 | 2009-11-09 |
| 1316106958 | Mohamed E Moussa | Orthopaedic Surgery | Massachusetts General Hospital, 55 Fruit St White # 535, Boston, MA 02114-2621 | 2008-06-09 |
| 1104085604 | Dennis W Burke Md PC | Orthopaedic Surgery | 55 Fruit St, Yawkey 3b, Boston, MA 02114 | 2008-06-09 |
| 1750579165 | Senthil Sambandam | Orthopaedic Surgery | 1400 Vfw Pkwy, Boston, MA 02132-4927 | 2007-10-10 |
| Find all providers in BOSTON | ||||
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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.