DR. CAROL A DIVAIO (NPI# 1487644936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487644936 |
| Entity Type | Individual |
| Full Name | DR. CAROL A DIVAIO |
| Credential | DPM |
| Practice Address |
55 Fruit St Yaw 3056 Podiatry Group Boston MA 02114-2696 |
| Mailing Address |
Po Box 9142 Charlestown MA 02129-9142 |
| Practice Telephone | 6177263487 |
| Practice Fax Number | 6177262739 |
| Mailing Telephone | 6177263487 |
| Mailing Fax Number | 6177243384 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2012-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1888 | MA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0362735 | 05 | |
| MA | TUFTS HEALTH PLAN | 718636 | 01 |
| MA | BCBS MA | Y70893 | 01 |
| Street Address |
55 FRUIT ST YAW 3056 PODIATRY GROUP |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306138086 | Daphne Robert | Podiatrist | 732 Harrison Ave Bldg 5th, Boston, MA 02118-2309 | 2011-05-12 |
| 1285666222 | Millard Thomas Hennessee | Podiatrist | 654 E Broadway, Boston, MA 02127-1502 | 2006-07-07 |
| 1285623694 | David E. Negron | Podiatrist | 732 Harrison Avenue, Preston 5th Floor, Boston, MA 02118 | 2005-10-18 |
| 1356339949 | Judy Beth Hurwitz | Podiatrist | 66 Charles St, #528, Boston, MA 02114-4604 | 2005-10-08 |
| 1558353714 | David Agoada | Podiatrist | 133 Brookline Ave., Hvma, Boston, MA 02215 | 2005-08-15 |
| 1407854094 | Adam Scott Landsman | Podiatrist | 55 Fruit Street, Dept. of Orthopaedics/podiatry Service, Boston, MA 02114-2696 | 2005-07-08 |
| 1538791892 | Seniorwell Pod of Massachusetts LLC | Podiatrist | 75 Arlington St Ste 500, Boston, MA 02116-3936 | 2020-02-05 |
| 1023672979 | Lowell Tong | Podiatrist | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2019-04-25 |
| 1689026023 | Gurneet Khangura | Podiatrist | 55 Fruit St, Yawkey 3f, Boston, MA 02114-2621 | 2016-07-11 |
| 1548527518 | Wei M Tseng | Podiatrist | 732 Harrison Ave, Preston Family Building 5th Floor, Boston, MA 02118-2309 | 2012-04-16 |
| 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.