DR. JOHN DAVID HACKETT (NPI# 1518059401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518059401 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID HACKETT |
| Credential | MD |
| Practice Address |
9 Hope Aveneu 153 Waltham MA 02453 |
| Mailing Address |
75 Sherman St Belmont MA 02478-3131 |
| Practice Telephone | 7817888444 |
| Practice Fax Number | 7818931273 |
| Mailing Telephone | 7817888444 |
| Mailing Fax Number | 7818931273 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 150282 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3156257 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346687605 | John Terrance Hackett | Psychologist | 9226 Hinton Ave, Delhi, CA 95315-8200 | 2013-05-28 |
| 1386920205 | John Nagle Hackett | Ophthalmology | 348 S Park Rd, La Grange, IL 60525-2127 | 2011-10-24 |
| 1093063190 | John Edison Hackett | Physical Therapist | 2197 Madison St, Suite 106, Clarksville, TN 37043-5284 | 2012-08-21 |
| 1962687939 | John Peter Hackett IIi | Anesthesiology | 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 | 2008-01-08 |
| 1134184047 | John P. Hackett | Dermatology | 1605 116th Ave Ne, Ste 102, Bellevue, WA 98004-3034 | 2006-04-20 |
| Street Address |
9 HOPE AVENEU 153 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| 1659470839 | Julie E Caruth | Family Medicine | 564 Main Street, Joseph M. Smith Community Health Center, Waltham, MA 02452 | 2006-09-22 |
| 1255323747 | Shenbagam Dewar | Family Medicine | 564 Main St, Waltham, MA 02452-5516 | 2005-08-19 |
| 1992157176 | Teryn Gorgone | Family Medicine | 130 2nd Ave, Waltham, MA 02451-1100 | 2016-07-12 |
| 1831519644 | Brittanie Dillon | Family Medicine | 9 Hope Avenue, Suite 151, Waltham, MA 02453 | 2014-04-18 |
| 1720346737 | Ilana Ambrogi | Family Medicine | 564 Main St, Waltham, MA 02452-5516 | 2012-04-26 |
| 1821254046 | Ekaterina Brodski-quigley | Family Medicine | 1030 Main St, Waltham, MA 02451-7447 | 2008-08-07 |
| 1720147895 | Kamau Karanja | Family Medicine | 564 Main St, Waltham, MA 02452-5516 | 2006-12-06 |
| 1477563377 | Waltham Family Practice, PC | Family Medicine | 9 Hope Ave, 1st Floor, Waltham, MA 02453-2741 | 2006-08-09 |
| 1407814338 | Sean A Andrews | Family Medicine | 32 South St, Suite 300, Waltham, MA 02453-3594 | 2006-05-02 |
| Find all providers in WALTHAM | ||||
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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.