DR. PHILLIP M GENDELMAN (NPI# 1427054576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427054576 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP M GENDELMAN |
| Credential | MD |
| Practice Address |
172 Cambridge Street Burlington MA 01803-2921 |
| Mailing Address |
172 Cambridge St Burlington MA 01803-2921 |
| Practice Telephone | 7812724944 |
| Practice Fax Number | 7812728756 |
| Mailing Telephone | 7812724944 |
| Mailing Fax Number | 7812728756 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2017-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 46245 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 6164552 | 05 | |
| RAILROAD MEDICARE | CE5062 | 01 |
| Street Address |
172 CAMBRIDGE STREET |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01803-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870674 | Deborah E Zuckerman | Ophthalmology | 172 Cambridge Street, Burlington, MA 01803 | 2005-06-08 |
| 1619067816 | Philip S Ellerin | Dermatology | 172 Cambridge Street, Suite 204, Burlington, MA 01803 | 2006-10-16 |
| 1730186818 | David S Gendelman | Ophthalmology | 172 Cambridge Street, Burlington, MA 01803 | 2005-07-05 |
| 1396742854 | Alec Smail | Optometrist | 172 Cambridge Street, Burlington, MA 01803 | 2005-06-30 |
| 1104822428 | Robert Johnson | Optometrist | 172 Cambridge Street, Burlington, MA 01803 | 2005-06-22 |
| 1437154416 | Robin F Steinberg | Ophthalmology | 172 Cambridge Street, Burlington, MA 01803 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219089 | Mallika Tara Iyer | Behavior Technician | 64 S Bedford Street, Burlington, MA 01803 | 2020-03-06 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1932608122 | Danielle Berkowitz | Registered Nurse | 90 Middlesex Tpke Ste G, Burlington, MA 01803 | 2018-02-02 |
| 1255861860 | David William Mahnken | Social Worker | 11a Cypress Drive, Burlington, MA 01803 | 2017-06-15 |
| 1770030710 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1300 Middlesex Turnpike, Burlington, MA 01803 | 2016-09-07 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1528404993 | Alexander David Neusner | Surgery | 40 Mall Rd, Burlington, MA 01803 | 2013-05-13 |
| 1730421389 | First Choice Dental Group | Dentist | 11 Camridge Street, Burlington, MA 01803 | 2013-03-21 |
| Find all providers in zip 01803 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093308 | Eye Physicians and Surgeons Sc | Ophthalmology | 675 W State Street, Burlington, WI 53105-2152 | 2020-05-05 |
| 1518069491 | Paul Francis Wagner | Ophthalmology | 308 Mchenry St, Burlington, WI 53105 | 2006-09-02 |
| 1437169661 | David J Weissgold | Ophthalmology | 181 Saint Paul St, Burlington, VT 05401-4636 | 2006-08-09 |
| 1902828254 | Michael W Brennan | Ophthalmology | 1016 Kirkpatrick Rd, Burlington, NC 27215-9714 | 2006-07-24 |
| 1609870674 | Deborah E Zuckerman | Ophthalmology | 172 Cambridge Street, Burlington, MA 01803 | 2005-06-08 |
| 1265072359 | Moses Cone Physician Services, Inc. | Ophthalmology | 1016 Kirkpatrick Rd, Burlington, NC 27215-9714 | 2020-01-07 |
| 1194361774 | Eye Key Retina Center LLC | Ophthalmology | 4423 Route 130 S, Burlington, NJ 08016-2385 | 2019-11-19 |
| 1558919597 | Eye Physicians & Surgeons Sc | Ophthalmology | 308 Mchenry St, Burlington, WI 53105-2152 | 2019-09-03 |
| 1831747138 | Eye Physicians and Surgeons Sc | Ophthalmology | 222 Adams St, Burlington, WI 53105-1466 | 2019-08-29 |
| 1215302146 | Amer M Alwreikat | Ophthalmology | 41 Mall Rd, Burlington, MA 01805-0001 | 2015-12-03 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01803 |
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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.