ELLIS M FRIBUSH (NPI# 1427137637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427137637 |
| Entity Type | Individual |
| Full Name | ELLIS M FRIBUSH |
| Credential | MD |
| Practice Address |
510 North St Pittsfield MA 01201 |
| Practice Telephone | 4134992921 |
| Practice Fax Number | 4134992762 |
| Mailing Telephone | 4134992921 |
| Mailing Fax Number | 4134992762 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
28034 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0129542 | 05 |
| Street Address |
510 NORTH ST |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215925011 | Jeffrey J Kellogg | Physician Assistant | 510 North St, Pittsfield, MA 01201-5493 | 2005-10-06 |
| 1245857309 | Hanna Anki | Dentist | 510 North St, Pittsfield, MA 01201-5493 | 2020-07-06 |
| 1558988329 | Shahana Muthirikkulam | Dentist | 510 North St, Pittsfield, MA 01201-5493 | 2020-06-28 |
| 1831751858 | Dalia Thweib | Dentist | 510 North St, Pittsfield, MA 01201-5493 | 2019-06-29 |
| 1073174116 | Megha Bansal | Dentist | 510 North St, Pittsfield, MA 01201-5493 | 2019-06-27 |
| 1730740978 | Tehrim Naseer | Dentist | 510 North St, Pittsfield, MA 01201-5493 | 2019-06-27 |
| 1801381116 | Sameed Akhtar Siddiqui | Dentist | 510 North St, Pittsfield, MA 01201-5493 | 2018-06-28 |
| 1497276307 | Vidhi Amin | Dentist | 510 North St, Pittsfield, MA 01201-5493 | 2017-06-30 |
| 1811448228 | Greylock Audiology LLC | Audiologist | 510 North St, Suite 9, Pittsfield, MA 01201-5493 | 2016-10-20 |
| 1275984205 | Elwira Tyra | Dentist | 510 North St, Pittsfield, MA 01201-5493 | 2016-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| 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 |
|---|---|---|---|---|
| 1053313197 | Kyle A. Cooper | Internal Medicine | 777 North St, Cardiology, Pittsfield, MA 01201-4147 | 2005-06-01 |
| 1669662706 | Georgianne M Valli-harwood | Internal Medicine | 777 North St, Cardiology, Pittsfield, MA 01201-4147 | 2007-07-25 |
| 1770792673 | Berkshire Care Inc | Internal Medicine | 276 South St, Pittsfield, MA 01201-6835 | 2007-05-21 |
| 1073722674 | Tracy Elizabeth Hagerty | Internal Medicine | 725 North St, Pittsfield, MA 01201-4109 | 2007-05-21 |
| 1073685210 | Thomas A Mcnulty | Internal Medicine | 276 South St, Pittsfield, MA 01201-6835 | 2006-11-14 |
| 1326143652 | Andrew S. Potash | Internal Medicine | 777 North St, Bfs Cardiology, Pittsfield, MA 01201-4147 | 2006-09-13 |
| 1063467603 | David R Finck | Internal Medicine | 777 North St, Cardiology, Pittsfield, MA 01201 | 2006-05-23 |
| 1407800402 | Jeffrey A Leppo | Internal Medicine | 777 North St, Cardiology, Pittsfield, MA 01201 | 2006-05-22 |
| 1316991318 | Martin Ivan Broder | Internal Medicine | 777 North St, Cardiology, Pittsfield, MA 01201-4147 | 2006-05-22 |
| 1679526834 | Philip Bhark | Internal Medicine | 777 North St, Cardiology, Pittsfield, MA 01201 | 2006-05-18 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
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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.