TIMOTHY SHEA JR. (NPI# 1518457753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518457753 |
| Entity Type | Individual |
| Full Name | TIMOTHY SHEA JR. |
| Credential | MD |
| Practice Address |
55 Fruit St. Warren 6 Co3b Boston MA 02114 |
| Mailing Address |
1158 49th Ave Apt 4d Long Island City NY 11101-5632 |
| Practice Telephone | 6177242036 |
| Mailing Telephone | 2037104633 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548822760 | Timothy Shawn Shea | Specialist/Technologist | 11419 Heath Rd, Chesterland, OH 44026-1603 | 2019-07-08 |
| 1497923650 | Timothy Michael Shea | Counselor | 449 Moreland Ave Ne, Suite 205, Atlanta, GA 30307-1582 | 2008-02-11 |
| 1144565094 | Timothy P, Shea | Clinical Neuropsychologist | 480 Medical Center Dr, 2145 Dodd Hall, Columbus, OH 43210-1229 | 2012-12-04 |
| 1366513707 | Timothy Peter Shea | Podiatrist | 2485 High School Ave, Suite214, Concord, CA 94520-1819 | 2006-11-09 |
| 1033160346 | Timothy John Shea | Family Medicine | 187 Medical Park Dr, Brevard, NC 28712-4189 | 2006-05-12 |
| Street Address |
55 FRUIT ST. WARREN 6 CO3B |
| City | BOSTON |
| State | MA |
| Zip Code | 02114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437113420 | Jeanine P Wiener-kronish | Anesthesiology | 55 Fruit St., Gray Bigelow 444, Boston, MA 02114-2696 | 2006-04-14 |
| 1699302166 | Sway Peng Chen | Student in an Organized Health Care Education/Training Program | 55 Fruit St., Grb-7-730, Boston, MA 02114 | 2020-03-25 |
| 1760991939 | Shiying Liu | Internal Medicine | 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 | 2017-09-20 |
| 1578089595 | Krishanu Chaudhuri | Surgery | 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 | 2017-08-22 |
| 1669998688 | Sotirios Nedios | Internal Medicine | 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 | 2017-08-22 |
| 1760906796 | Maria F. Hernandez Nuno De La Rosa | Oral & Maxillofacial Surgery | 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 | 2017-08-01 |
| 1992229157 | Jennifer Williams | Psychiatry & Neurology | 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 | 2017-07-31 |
| 1801310065 | Erik Beckmann | Surgery | 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 | 2017-07-31 |
| 1467975961 | Guangming Tan | Internal Medicine | 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 | 2017-07-18 |
| 1285156679 | James W Luccarelli | Psychiatry & Neurology | 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 | 2017-07-07 |
| Find all providers in the same location | ||||
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447636 | Sarah Wieman | Student in an Organized Health Care Education/Training Program | 16 Blossom St Fl 1, Boston, MA 02114-3104 | 2020-11-03 |
| 1932709938 | Brianna Mae Duval | Student in an Organized Health Care Education/Training Program | 58 Colborne Rd, Boston, MA 02135-4103 | 2020-10-28 |
| 1780281279 | Sarah Hamad Alsaggabi | Student in an Organized Health Care Education/Training Program | 55 Traveler St Apt 1310, Boston, MA 02118-2973 | 2020-10-07 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1962018069 | Cara Connors | Student in an Organized Health Care Education/Training Program | 18 Wiget St Apt 1, Boston, MA 02113-2363 | 2020-09-23 |
| 1023624608 | Bernadette Avila | Student in an Organized Health Care Education/Training Program | 19 Peterborough St Apt 5, Boston, MA 02215-4409 | 2020-09-19 |
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 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.