DR. DANIEL DAVID KOELLIKER (NPI# 1508876871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508876871 |
| Entity Type | Individual |
| Full Name | DR. DANIEL DAVID KOELLIKER |
| Credential | M.D. |
| Practice Address |
2014 Washington St Pathology Department, Newton-wellesley Hospital Newton MA 02462-1607 |
| Mailing Address |
5 Lighthouse Ln Barrington RI 02806-2829 |
| Practice Telephone | 6172436140 |
| Practice Fax Number | 6172435809 |
| Mailing Telephone | 4012452389 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZC0500X |
Pathology Specialization: Cytopathology |
79822 | MA | Allopathic & Osteopathic Physicians |
| X | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
79822 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3126374 | 05 | |
| HPHCFIRST SENIORITY | 34802 | 01 | |
| BC/BS MASS | KOJ30752 | 01 | |
| HARVARD PILGRIM HEALTH | 34802 | 01 | |
| TUFTS HEALTH PLAN POS | 737777 | 01 | |
| BOSTON CITY HEALTH NET | 000000021384 | 01 | |
| HARVARD-PILGRIM HEALTH | 34725 | 01 | |
| SECURE HORIZONS | 803550 | 01 |
| Street Address |
2014 WASHINGTON ST PATHOLOGY DEPARTMENT, NEWTON-WELLESLEY HOSPITAL |
| City | NEWTON |
| State | MA |
| Zip Code | 02462-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205818721 | Judy Z Yang | Internal Medicine | 2014 Washington St, Newton, MA 02462-1607 | 2005-11-18 |
| 1952916611 | Deanna Elizabeth Fiore | Nurse Practitioner | 2014 Washington St, Newton, MA 02462-1699 | 2020-09-10 |
| 1730799040 | Enoch Anyanwu | Registered Nurse | 2014 Washington St, Newton, MA 02462-1607 | 2020-08-03 |
| 1821627399 | Saghar Bagheri | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-04-06 |
| 1356970206 | Alexandra Beling | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-04-03 |
| 1790314656 | Micaela Rose Nannery | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-04-03 |
| 1689202038 | Susruthi Rajanala | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-03-31 |
| 1649808213 | Mary E. Awad | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-03-30 |
| 1568090108 | Damir Ljuboja | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-03-30 |
| 1417585076 | Steven Nicholas Baldassano | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151892 | Samuel Warren | Student in an Organized Health Care Education/Training Program | 2000 Washington St, Blue Building Suite 201, Newton, MA 02462 | 2019-09-04 |
| 1629486477 | Johanna Forman Lam | Nurse Practitioner | 2000 Washington St Ste 544, Newton, MA 02462 | 2014-07-24 |
| 1083909774 | Kristen A. Lindgren | Psychiatry & Neurology | Nwh Pediatric Ambulatory Care Center, 2014 Washington St, 6 South, Newton, MA 02462 | 2011-06-10 |
| 1346430436 | David Peselman | Pathology | Harvard Rehabilitation Clinic, Brockton, MA 02462 | 2007-07-26 |
| 1487776001 | Aaron Gardiner | Orthopaedic Surgery | 2000 Washington St #341, Newton Wellesley Orthopedic Associates, Inc., Newton, MA 02462 | 2007-04-04 |
| 1023194263 | Mark S Golden | Social Worker | 671 Grove St, Newton, MA 02462 | 2006-10-31 |
| 1477669331 | Elizabeth A Konig | Obstetrics & Gynecology | Newton Wellesley Ob/gyn, 2000 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1558477315 | Barry J Tils | Emergency Medicine | Newton Wellesly Hospital, 2014 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1134130040 | Aryeh Shestopal | Psychologist | 39 Clearwater Roard, Newton, MA 02462 | 2006-08-10 |
| 1861403347 | Nancy B Hurwitz | Physician Assistant | Newton Wellesley Hospital, 2014 Washington St, Newton, MA 02462 | 2006-08-10 |
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| Taxonomy Code | 207ZC0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Cytopathology |
| A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist’s practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the "Pap" test. However, the cytopathologist’s expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841256195 | Newton Wellesley Pathology Associates, PC | Pathology | 2014 Washington St, Department of Pathology, Newton, MA 02462-1607 | 2006-04-25 |
| 1508842139 | Helen E Cajigas | Pathology | 831 Beacon St, Newton, MA 02459-1822 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235238015 | Sumita Gokhale | Pathology | 9 Cambridge Ctr, Room 449, Whitehead Institute-biomedical Research, Cambridge, MA 02142 | 2006-09-21 |
| 1093729352 | Julia Grace Laguette | Pathology | 250 Hammond Pond Pkwy, Apt 401-s, Chestnut Hill, MA 02467-1533 | 2006-07-29 |
| 1104853282 | Wenchun Wang | Pathology | 14 Drake Cir, Sharon, MA 02067-3124 | 2006-06-26 |
| 1952345829 | Gerald Nash | Pathology | 299 Carew Street, New England Pathology Associates PC, Springfield, MA 07104 | 2006-06-15 |
| 1417938705 | Carlos F Villamil | Pathology | 1 Cranberry Hl Ste 303, Lexington, MA 02421-7397 | 2005-11-14 |
| 1982693594 | Robin E Kirby | Pathology | 41 Highland Ave, Winchester Hospital, Winchester, MA 01890-1446 | 2005-10-17 |
| 1184627028 | Barry Mathew Berger | Pathology | 40 Cedar Rd, Chestnut Hill, MA 02467-2206 | 2005-05-24 |
| 1831611276 | Edward Thompson Richardson IIi | Pathology | 75 Francis St, Boston, MA 02115-6110 | 2017-07-07 |
| 1053744680 | Osman H. Yilmaz | Pathology | 670 Albany Street, Suite 304, Boston, MA 02118 | 2013-08-19 |
| 1538420831 | Lisa Laskiewicz | Pathology | 1493 Cambridge St, Cambridge, MA 02139 | 2012-06-04 |
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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.