DR. SAMUEL D GOOS (NPI# 1548240039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548240039 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL D GOOS |
| Credential | M.D. |
| Practice Address |
86 Baker Avenue Ext Suite 302 Concord MA 01742-2132 |
| Mailing Address |
526 Main St Ste 302 Acton MA 01720-3301 |
| Practice Telephone | 9783717010 |
| Practice Fax Number | 9783710522 |
| Mailing Telephone | 9783717010 |
| Mailing Fax Number | 9783710522 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2017-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 56678 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | AETNA US HEALTH CARE | 4126119 | 01 |
| MA | HEALTHSOURCE | 5763 | 01 |
| MA | BC/BS OF MA | J07521 | 01 |
| MA | CIGNA | 0009289 | 01 |
| MA | RAILROAD MEDICARE | 070015454 | 01 |
| MA | HARVARD COMMUNITY HEALTH | 4293 | 01 |
| MA | FALLON COMMUNITY HEALTH C | 8150 | 01 |
| MA | TUFTS HEALTH PLAN | 056678 | 01 |
| Street Address |
86 BAKER AVENUE EXT SUITE 302 |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003805599 | Jessica Rae Rubinstein | Pediatrics | 86 Baker Avenue Ext, Hvma-chma Dept of Pediatrics, Concord, MA 01742-2188 | 2005-10-17 |
| 1659930832 | Allison Marie O'connor | Counselor | 86 Baker Avenue Ext, Concord, MA 01742-2132 | 2019-06-11 |
| 1861058463 | James Nichols | Counselor | 86 Baker Avenue Ext, Concord, MA 01742-2132 | 2019-05-20 |
| 1598249633 | Daniel Devoe | Social Worker | 86 Baker Avenue Ext, Concord, MA 01742-2132 | 2018-09-24 |
| 1104353382 | Sara Gordon Belmont | Social Worker | 86 Baker Avenue Ext, Concord, MA 01742 | 2017-05-18 |
| 1275079592 | Rhiannon Roberts | Counselor | 86 Baker Avenue Ext, Suite 100, Concord, MA 01742-2132 | 2017-01-10 |
| 1073064424 | Sarah Compton | Social Worker | 86 Baker Avenue Ext, Concord, MA 01742-2132 | 2016-10-20 |
| 1184171035 | Ann Chase | Social Worker | 86 Baker Avenue Ext, Suite 100, Concord, MA 01742-2132 | 2016-09-08 |
| 1710369368 | Haven Medical Group, LLC | Internal Medicine | 86 Baker Avenue Ext, Concord, MA 01742-2132 | 2015-06-19 |
| 1699110924 | Tiffany Angeloni | Technician/Technologist | 86 Baker Avenue Ext, Concord, MA 01742-2132 | 2013-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518237825 | Carolinas Medical Center-northeast | Dermatology | 200 Medical Park Drive, Suite 320, Concord, NC 28025-0936 | 2012-01-03 |
| 1477707164 | Ebaa Mohammed Alawami | Dermatology | 248 Pleasant St Ste 103, Concord, NH 03301-2588 | 2008-11-08 |
| 1386777407 | Anthony J Aversa Md | Dermatology | 111 Loudon Rd, Concord, NH 03301-5605 | 2007-03-14 |
| 1124133277 | David E Geist | Dermatology | 54 Baker Avenue Ext Ste 305, Concord, MA 01742-2143 | 2006-08-20 |
| 1124006127 | Peter Muz | Dermatology | 54 Baker Avenue Ext 305, Concord, MA 01742-2143 | 2006-01-09 |
| 1689652257 | Kathleen Mary Joyce | Dermatology | 1620 Sudbury Rd, Concord, MA 01742-5800 | 2006-01-04 |
| 1720064116 | William D Hoover | Dermatology | 335 Penny Ln, Concord, NC 28025-1221 | 2005-12-19 |
| 1184619223 | Michael M Pugliese | Dermatology | 290 Baker Ave, Suite 220n, Concord, MA 01742-2189 | 2005-09-14 |
| 1679138879 | Apderm Massachusetts PC | Dermatology | 54 Baker Avenue Ext Ste 305, Concord, MA 01742-2143 | 2019-05-03 |
| 1548647613 | Nathaniel Allen Slater | Dermatology | 335 Penny Ln, Concord, NC 28025-1221 | 2015-04-28 |
| Find all providers in CONCORD | ||||
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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.