DEDHAM MEDICAL ASSOC INC (NPI# 1407860968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407860968 |
| Entity Type | Organization |
| Organization Name | DEDHAM MEDICAL ASSOC INC |
| Practice Address |
One Lyons St 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 | 2006-07-28 |
| 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 | 208800000X | Urology | ========= | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9766596 | 05 | |
| MA | 9766553 | 05 | |
| MA | 976626 | 05 | |
| MA | 9766529 | 05 | |
| MA | 9766545 | 05 | |
| MA | 9766561 | 05 | |
| MA | 9766588 | 05 | |
| MA | 9766634 | 05 | |
| MA | 9766537 | 05 | |
| MA | 9766618 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932112117 | Dedham Medical Assoc Inc | Radiology | One Lyons Street, Dedham, MA 02026 | 2006-08-15 |
| 1326064312 | Dedham Medical Assoc Inc | Surgery | One Lyons Street, Dedham, MA 02026 | 2006-07-14 |
| 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 ST |
| City | DEDHAM |
| State | MA |
| Zip Code | 02026 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285671479 | Michael J Malone | Urology | 1 Lyons Street, Dedham Medical Associates, Dedham, MA 02026 | 2006-05-31 |
| 1104813641 | Michael E. Corea | Urology | 910 Washington St Ste 200, Dedham, MA 02026-6022 | 2005-09-30 |
| 1437798121 | Gbu Cch, LLC | Urology | 910 Washington St Ste 200, Dedham, MA 02026-6022 | 2019-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568099737 | Kelly Lindert | Urology | 68 Chester St, Arlington, MA 02476-7607 | 2020-03-26 |
| 1619464781 | Osama Alalao | Urology | 655 Concord Ave Apt 702, Cambridge, MA 02138-1086 | 2018-04-15 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1366983322 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Physician Community I Inc, 41 Mall Rd., Burlington, MA 01805-0001 | 2017-03-10 |
| 1447707450 | Yonah Krakowsky | Urology | 200 Boylston St # A309, Chestnut Hill, MA 02467-2012 | 2016-09-07 |
| 1952796518 | Filipe La Fuente De Carvalho | Urology | 55 Fruit St Dept of Urology, Boston, MA 02114-2621 | 2015-03-31 |
| 1487087375 | Abdulsalam Ahmed Albalawi | Urology | 88 Thornton Rd, 88, Chestnut Hill, MA 02467-3611 | 2013-08-14 |
| 1083955538 | Eugene Blanchard Cone | Urology | 55 Fruit St - Grb 1100, Massachusetts General Hospital - Department of Urology, Boston, MA 02114 | 2013-03-08 |
| 1881946929 | David T Mahony | Urology | 223 Fairview Ave, Brockton, MA 02301-2907 | 2012-10-14 |
| 1710240395 | Chintan Patel | Urology | 85 Prescott St Ste 403, Worcester, MA 01605-2671 | 2012-06-19 |
| 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.