MANISH TANDON (NPI# 1417021437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417021437 |
| Entity Type | Individual |
| Full Name | MANISH TANDON |
| Credential | MD |
| Practice Address |
230 Highland Ave Medical Specialties Somerville MA 02143-1408 |
| Practice Telephone | 6176651552 |
| Mailing Telephone | 6176651552 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
155573 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0186619 | 05 | |
| MA | BCBS MA | J24432 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174504856 | Manish Tandon | Surgery | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102 | 2005-11-09 |
| Street Address |
230 HIGHLAND AVE MEDICAL SPECIALTIES |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481501 | Michael Clarence Payne | Internal Medicine | 230 Highland Ave, Somerville Hospital / The Cambridge Health Alliance, Somerville, MA 02143-1408 | 2005-07-14 |
| 1336615319 | Brusly Guerrier | Registered Nurse | 230 Highland Ave, Somerville, MA 02143-1408 | 2018-10-17 |
| 1366935975 | Khushbu Patel | Licensed Vocational Nurse | 230 Highland Ave, Somerville, MA 02143-1408 | 2018-06-08 |
| 1922509496 | Eri Sugiyama Purdon | Occupational Therapist | 230 Highland Ave, Somerville, MA 02143-1408 | 2018-02-21 |
| 1902305576 | Orlando Leandro Perez-bonilla | Technician | 230 Highland Ave, Somerville, MA 02143-1408 | 2018-02-08 |
| 1720595846 | Daisy Tirado | Licensed Practical Nurse | 230 Highland Ave, Somerville, MA 02143-1408 | 2018-01-10 |
| 1134640105 | Claudine Alabre | Registered Nurse | 230 Highland Ave, Somerville, MA 02143-1408 | 2017-06-29 |
| 1750814620 | Julie Ng | Licensed Practical Nurse | 230 Highland Ave, Somerville, MA 02143-1408 | 2017-04-07 |
| 1619429032 | Giselle Devane | Health Educator | 230 Highland Ave, Somerville, MA 02143-1408 | 2016-11-02 |
| 1033661145 | Debralee Quinn | Registered Nurse | 230 Highland Ave, Somerville Hospital, Somerville, MA 02143-1408 | 2016-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1437103678 | Robert S Wiesen | Internal Medicine | 286 E Main St, Somerville, NJ 08876-3006 | 2006-05-20 |
| 1760481501 | Michael Clarence Payne | Internal Medicine | 230 Highland Ave, Somerville Hospital / The Cambridge Health Alliance, Somerville, MA 02143-1408 | 2005-07-14 |
| 1851553531 | Neal E Luppescu, Md, Pa | Internal Medicine | 10 N Gaston Ave, Somerville, NJ 08876-2434 | 2008-06-25 |
| 1821102237 | Kinnari Rahul Kher | Internal Medicine | 20 Holland St, Suite 407, Somerville, MA 02144-2700 | 2006-08-19 |
| 1841203940 | Cory D Vergilio | Internal Medicine | 319 E Main St, Somerville, NJ 08876-3109 | 2006-08-14 |
| 1255366589 | Gastromed Healthcare, P.a. | Internal Medicine | 286 E Main St, Somerville, NJ 08876-3006 | 2006-07-12 |
| 1295773570 | Stephen R Shapiro | Internal Medicine | 286 E Main St, Somerville, NJ 08876-3006 | 2006-06-02 |
| 1104864487 | Jeffrey S Unger | Internal Medicine | 286 E Main St, Somerville, NJ 08876-3006 | 2006-06-02 |
| 1114971397 | Surya P Irakam | Internal Medicine | 286 E Main St, Somerville, NJ 08876 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194366849 | Halpert Medical LLC | Internal Medicine | 27 Pier 7, Boston, MA 02129-4226 | 2019-10-03 |
| 1962973131 | Dha Pho-w LLC | Internal Medicine | 91 Montvale Ave #206, Stoneham, MA 02180-3649 | 2018-12-16 |
| 1952825671 | Clifford D Gluck Md Pllc | Internal Medicine | 72 Sharp St Ste A10, Hingham, MA 02043-4362 | 2017-08-03 |
| 1861913881 | Aymeric Becq | Internal Medicine | 330 Brookline Avenue, Dana 603, Boston, MA 02215 | 2017-06-29 |
| 1386019503 | Boston Food Allergy Center LLC | Internal Medicine | 65 Harrison Ave Ste 201, Boston, MA 02111-1924 | 2015-12-14 |
| 1578901088 | Connie Yingyi Huang | Internal Medicine | 55 Highland Ave Ste 101, Salem, MA 01970-2100 | 2013-06-06 |
| 1477996650 | William Thomas Clarke | Internal Medicine | 330 Brookline Ave # Rabb400, Boston, MA 02215-5400 | 2013-04-08 |
| 1487908141 | Jose Manuel Mella | Internal Medicine | 330 Brookline Ave Da 501, East Campus, Beth Israel Deaconess Medical Center, Boston, MA 02215-5403 | 2012-11-02 |
| 1003169327 | Rong J Guan, Md LLC | Internal Medicine | 30 Kneeland St Fl 5, Boston, MA 02111-1528 | 2012-10-24 |
| 1598026494 | Yesenia Greeff | Internal Medicine | 3300 Main St Ste 3a, Springfield, MA 01199 | 2012-06-06 |
| Find all providers with the same taxonomy | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
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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.