DR. RALPH GILLILAND VETTERS (NPI# 1427068873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427068873 |
| Entity Type | Individual |
| Full Name | DR. RALPH GILLILAND VETTERS |
| Credential | M.D. |
| Practice Address |
75 Kneeland St Suite 201 Boston MA 02111-1901 |
| Mailing Address |
67 Walnut St Somerville MA 02143-1935 |
| Practice Telephone | 6174578140 |
| Practice Fax Number | 6174578141 |
| Mailing Telephone | 6176234201 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2013-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 227788 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | STATE MEDICAL LICENSE | 227788 | 01 |
| Street Address |
75 KNEELAND ST SUITE 201 |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841272846 | Gregory Fenton | Internal Medicine | 75 Kneeland St, Suite 201, Boston, MA 02111-1901 | 2005-11-16 |
| 1457996563 | Sean James Borger | Social Worker | 75 Kneeland St, Boston, MA 02111-1901 | 2019-11-12 |
| 1811531965 | Wayne Preston Pearson Jr. | Social Worker | 75 Kneeland St, Boston, MA 02111-1901 | 2019-11-01 |
| 1811479900 | Katherine Luciano | Social Worker | 75 Kneeland St, Boston, MA 02111-1901 | 2018-09-05 |
| 1972982577 | Samantha Hodgins | Registered Nurse | 75 Kneeland St, Boston, MA 02111-1901 | 2015-05-28 |
| 1497012405 | Rachel Kahn | Counselor | 75 Kneeland St, #201, Boston, MA 02111-1901 | 2012-04-13 |
| 1295046076 | Karla Hoxha Brown | Nurse Practitioner | 75 Kneeland St, Suite 201, Boston, MA 02111-1901 | 2010-06-28 |
| 1548589047 | Fenway Community Health Center, Inc | Clinic/Center | 75 Kneeland St, 2nd Floor, Boston, MA 02111-1901 | 2010-05-24 |
| 1417139239 | Greater Boston Chinese Golden Age Center, Inc. | Case Management | 75 Kneeland St, Suite 204, Boston, MA 02111-1901 | 2007-12-04 |
| 1750405262 | Midtown Home Health Services, Inc. | Home Health | 75 Kneeland St, Suite 204, Boston, MA 02111-1901 | 2007-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790280 | Allison Seats | Pediatrics | 265 Hyde Park Ave Apt 1rf, Boston, MA 02130-4222 | 2020-05-05 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1346871381 | Heather Mccaslin Kempczinski | Pediatrics | 360 Beacon St Apt 1, Boston, MA 02116-1063 | 2020-01-29 |
| 1083148167 | Daniel Digiacomo | Pediatrics | 55 Fruit St # 165, Boston, MA 02114-2621 | 2017-04-17 |
| 1568814283 | Jessica Leigh Dicarlo | Pediatrics | 800 Tufts Medical Center, Box 286, Department of Pediatrics, Boston, MA 02111-1651 | 2016-07-06 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| 1255793493 | Kelsey A. Egan | Pediatrics | 840 Harrison Ave # Menino4, Boston, MA 02118-2905 | 2016-03-27 |
| 1851787626 | Tierney Mancuso Morrison | Pediatrics | 300 Longwood Ave # 961, Boston, MA 02115-5724 | 2015-04-08 |
| 1710379797 | Marleny Yordania Aquino Cabrera | Pediatrics | 725 Albany St Ste 8c, Boston, MA 02118-2526 | 2015-02-27 |
| 1558762203 | Desiree Sierra Velez | Pediatrics | 32 Fruit St Fl 6, Boston, MA 02114-2620 | 2014-09-12 |
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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.