EVOLVD HEALTH (NPI# 1487291100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487291100 |
| Entity Type | Organization |
| Organization Name | EVOLVD HEALTH |
| Practice Address |
85 Brainerd Rd Apt 108 Boston MA 02134-4529 |
| Practice Telephone | 6104426552 |
| Mailing Telephone | 6104426552 |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2019-12-01 |
| Authorized Official Name | DR. SHADY HENIEN (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6104426552 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Evolvd Health | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EVOLVD HEALTH, INC | 99 Wall Street, Suite 2805, New York, New York 10005 |
| Street Address |
85 BRAINERD RD APT 108 |
| City | BOSTON |
| State | MA |
| Zip Code | 02134-4529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164070165 | Regina Levkovich | Social Worker | Spaulding Nursing and Therapy Center-brighton, 100 North Beacon Street, Brighton, MA 02134 | 2019-09-03 |
| 1851951487 | Bridget Rene Hunt | Specialist/Technologist | 47 N Harvard St, Allson, MA 02134 | 2019-06-17 |
| 1710457577 | Karla Lizbet Rivas | Psychologist | 44 Mansfield St, Allston, MA 02134 | 2018-12-04 |
| 1730698549 | Samantha Krevalin | Counselor | 52 Brainerd Rd, Allston, MA 02134 | 2017-09-25 |
| 1053834788 | Matthew Blythe Gradin | Counselor | 14 Fordham Road, Allston, MA 02134 | 2017-07-25 |
| 1962877498 | Julia Gearing | Skilled Nursing Facility | 36 Quint Ave Apt 16, Allston, MA 02134 | 2015-12-09 |
| 1518367101 | Laura Domanico | Counselor | 250 Lincoln St, Allston, MA 02134 | 2014-09-02 |
| 1194153403 | Misato Nishijima | Social Worker | 14 Fordham Rd., Arbour Counseling Services of Allston, Allston, MA 02134 | 2013-10-23 |
| 1760732218 | Chester Fred Bowen IIi | Counselor | 40 N. Beacon St, Allston, MA 02134 | 2012-09-12 |
| 1023329414 | Mab Community Services, Inc | Day Training, Developmentally Disabled Services | 29 Denby Rd, Allston, MA 02134 | 2010-06-30 |
| Find all providers in zip 02134 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1265042832 | Rinat Nuriev | Internal Medicine | 530 Western Ave Apt 404, Boston, MA 02135-1036 | 2020-08-07 |
| 1831726595 | James Dotimas | Internal Medicine | 801 Massachusetts Ave Ste 6c, Boston, MA 02118-2605 | 2020-03-24 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| 1699237081 | Steven Lynn St Peter | Internal Medicine | 43 Union Park Apt 2, Boston, MA 02118-3702 | 2019-04-03 |
| 1083174478 | Kevin Stirling | Internal Medicine | Shapiro Primary Care 725 Albany Street, 5b/c Precepting Room, Boston, MA 02118 | 2019-03-21 |
| 1477042737 | Theofanis Kalathas | Internal Medicine | 725 Albany Street, Shapiro 5d6, Boston, MA 02118 | 2018-05-02 |
| 1801309521 | Firefly Health | Internal Medicine | 361 Newbury St Fl 5, Boston, MA 02115-2738 | 2017-11-16 |
| 1104346527 | Jodian Amor Pinkney | Internal Medicine | 55 Fruit St # 130, Boston, MA 02114-2621 | 2017-06-27 |
| 1568982502 | Priyanka Ballal | Internal Medicine | 725 Albany Street, Shapiro 586, Boston, MA 02118-2526 | 2017-06-21 |
| 1528597689 | Neal Dhananjay Dharmadhikari | Internal Medicine | 725 Albany St Fl 6, Boston, MA 02118-3549 | 2017-06-12 |
| Find all providers in BOSTON | ||||
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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.