LIFESTYLE MEDICAL AND CARDIOVASCULAR ASSOCIATES PC (NPI# 1396356556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396356556 |
| Entity Type | Organization |
| Organization Name | LIFESTYLE MEDICAL AND CARDIOVASCULAR ASSOCIATES PC |
| Practice Address |
300 Boylston St Ste 201 Chestnut Hill MA 02467-1978 |
| Mailing Address |
20 Thompson Rd Branford CT 06405-2842 |
| Practice Telephone | 6179169433 |
| Mailing Telephone | 2034890808 |
| Mailing Fax Number | 8774038633 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | KIMBERLY PARKS (OWNER) |
| Authorized Official Telephone | 6176788857 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Synergy Private Health | Doing Business As Name - Organization |
| Street Address |
300 BOYLSTON ST STE 201 |
| City | CHESTNUT HILL |
| State | MA |
| Zip Code | 02467-1978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542810 | Joanne L. Faber | Nurse Practitioner | 136 Beverly Road, Chestnut Hill, MA 02467 | 2020-03-12 |
| 1992338859 | Kim Elizabeth Chaplain | Physical Therapy Assistant | 615 Heath Street, Chestnut Hill, Ma. 02467, Chestnut Hill, MA 02467 | 2020-02-19 |
| 1407325251 | Tara Paulauskas | Social Worker | 791 Hammond St, Chestnut Hill, MA 02467 | 2018-11-21 |
| 1932684776 | Jeannine Kremer | Social Worker | 140 Commonweakth Ave, Chestnut Hill, MA 02467 | 2018-09-27 |
| 1639671563 | Kathleen Houlihan | Social Worker | Boston College Campus School - Campion 197, 140 Commonwealth Ave, Chestnut Hill, MA 02467 | 2018-03-07 |
| 1609374891 | The Counseling Center At Cela | Counselor | 675 Vfw Parkway #271, Chestnut Hill, MA 02467 | 2018-01-23 |
| 1033566328 | Boston Body Evolution LLC | Specialist | 1290 Boylston Street, Chestnut Hill, MA 02467 | 2016-05-17 |
| 1669827630 | Mikayla Wynter | Counselor | 393 Hammond St, Chestnut Hill, MA 02467 | 2016-04-27 |
| 1043697675 | Accurate Care Afc, Inc. | Home Health | 50/56 Broadlawn Park, Apt 506, Chestnut Hill, MA 02467 | 2015-05-04 |
| 1609285360 | Oba LLC | Anesthesiology | 6 Eliot Crescent, Brookline, MA 02467 | 2014-08-07 |
| Find all providers in zip 02467 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1881834588 | Bernardo Nadal-ginard | Internal Medicine | 334 Hammond St, Chestnut Hill, MA 02467-1208 | 2009-02-20 |
| 1346349669 | Evan Appelbaum | Internal Medicine | 200 Boylston St Ste A309, Chestnut Hill, MA 02467-2012 | 2006-09-22 |
| 1417983172 | Kevin James Croce | Internal Medicine | 16 Payson Rd, Chestnut Hill, MA 02467-3217 | 2006-06-24 |
| 1821047630 | Lown Cardiovascular Group, Inc. | Internal Medicine | 830 Boylston Street, Suite 205, Chestnut Hill, MA 02467 | 2006-05-09 |
| 1588699649 | Herbert Benson | Internal Medicine | 824 Boylston St, Chestnut Hill, MA 02467-2508 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083186498 | Cape Cardiology Md PC | Internal Medicine | 125 Underpass Rd, Brewster, MA 02631-1810 | 2018-12-24 |
| 1558868141 | Reading Cardiology Assoc. 2 PC | Internal Medicine | 21 Main St Ste 2, North Reading, MA 01864-5001 | 2018-04-10 |
| 1447768510 | Vhs Acquisition Subsidiary Number 7 Inc | Internal Medicine | 20 Washington Sq Fl 2, Worcester, MA 01604-4013 | 2018-01-11 |
| 1386165470 | Malik Bilal Ahmed | Internal Medicine | 800 Washington Street Mailbox #315, Boston, MA 02111 | 2017-06-29 |
| 1114370269 | Carol Lynn Goldstein | Internal Medicine | 19 Sengekontacket Rd, Edgartown, MA 02539-7829 | 2016-07-13 |
| 1760867667 | Chi Hong Chau | Internal Medicine | 400 Brookline Ave Apt 15a, Boston, MA 02215-5406 | 2015-07-21 |
| 1972916039 | Adam T Phillips | Internal Medicine | 185 Pilgrim Rd Fl Baker4, Boston, MA 02215 | 2014-06-06 |
| 1811315831 | Newburyport Cardiovascular Associates, LLC | Internal Medicine | 7 Henry Graf Jr. Road, Newburyport, MA 01950 | 2014-04-07 |
| 1760809818 | Subhasree Panchangam | Internal Medicine | 830 Harrison Ave Bldg 3500, Boston, MA 02118-2905 | 2014-03-26 |
| 1124463609 | Gaurav Gulati | Internal Medicine | 800 Washington St # 315, Boston, MA 02111-1552 | 2013-05-09 |
| Find all providers with the same taxonomy | ||||
| City | CHESTNUT HILL |
| Zip Code | 02467 |
Please comment or provide details below to improve the information on LIFESTYLE MEDICAL AND CARDIOVASCULAR ASSOCIATES PC.
| 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.