CHARLES RIVER EAR, NOSE & THROAT ASSOCIATES, P. C. (NPI# 1568765394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568765394 |
| Entity Type | Organization |
| Organization Name | CHARLES RIVER EAR, NOSE & THROAT ASSOCIATES, P. C. |
| Practice Address |
67 Union St Suite 306 Natick MA 01760-7700 |
| Practice Telephone | 5086550100 |
| Practice Fax Number | 5086518718 |
| Mailing Telephone | 5086550100 |
| Mailing Fax Number | 5086518718 |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |
| Authorized Official Name | DR. JAMES W. SHEPARD (PRESIDENT) |
| Authorized Official Telephone | 5086550100 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
28785 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
67 UNION ST SUITE 306 |
| City | NATICK |
| State | MA |
| Zip Code | 01760-7700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609862994 | Arnold Miller | Specialist | 67 Union St, Suite 301, Natick, MA 01760-7700 | 2005-09-22 |
| 1871194720 | Catherine Porcello | Nurse Practitioner | 67 Union St, Natick, MA 01760-7700 | 2020-11-06 |
| 1336740497 | Karen Lesley Magoon | Nurse Practitioner | 67 Union St, Natick, MA 01760-6089 | 2020-11-05 |
| 1194349936 | Metrowest Ultrasound LLC | Clinic/Center | 67 Union St, Natick, MA 01760-7700 | 2020-06-06 |
| 1972125102 | Youssef Mina | Radiologic Technologist | 67 Union St, Natick, MA 01760-7700 | 2020-05-11 |
| 1275163669 | Scott Munger | Social Worker | 67 Union St, Natick, MA 01760-7700 | 2020-01-24 |
| 1093296105 | Allyson Strassberger | Social Worker | 67 Union St, Natick, MA 01760-7700 | 2018-08-27 |
| 1861941874 | Stephanie L Kessler | Physician Assistant | 67 Union St, Natick, MA 01760-7700 | 2016-10-03 |
| 1720433576 | Sports Podiatry Resource, Inc | Podiatrist | 67 Union St, Suite 310, Natick, MA 01760-7700 | 2016-04-29 |
| 1780042614 | Karlee Walther | Registered Nurse | 67 Union St, Suite 501, Natick, MA 01760-7700 | 2016-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417412842 | For Eyes Optical of Pa | Optometrist | 1300-a Worcester St, Sherwood Plaza, Plaza Suite 11, Natick, MA 01760 | 2019-02-11 |
| 1366927469 | Edith Siegel Wolfson | Social Worker | 2 Stagg Drive, Natick, MA 01760 | 2018-09-25 |
| 1447772801 | Soraia L Pinto | Registered Nurse | 10 Alden Street, Natick, MA 01760 | 2017-07-07 |
| 1003336264 | Aurora Counseling Associates | Counselor | 20 Main St. Suite 202, Natick, MA 01760 | 2017-06-20 |
| 1548790140 | Sally Miner Heerde | Speech-Language Pathologist | 38 Fairway Circle, Natick, MA 01760 | 2017-06-15 |
| 1962937516 | Michaela Rice | Behavior Technician | 841 Worcester Road, 102, Natick, MA 01760 | 2017-04-20 |
| 1831545375 | Nadia Nina Sayess | Counselor | 17 Morgan Drive, Apt 105, Natick, MA 01760 | 2016-05-13 |
| 1114398468 | Ruvarashe Swiswa | Social Worker | 251 W Central St Ste 25, Natick, MA 01760 | 2015-10-13 |
| 1669897153 | Simon Medical Service | Durable Medical Equipment & Medical Supplies | 16 Tech Circle, Natick, MA 01760 | 2014-02-20 |
| 1639418965 | Cfo Retail Services, LLC | Eyewear Supplier (Equipment, not the service) | 1245 Worcester Road, Natick Mall, Natick, MA 01760 | 2013-02-06 |
| Find all providers in zip 01760 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760961940 | New England Ear Nose & Throat/facial Plastic Surgery,p.c. | Otolaryngology | 198 Massachusetts Ave Ste 103, North Andover, MA 01845-4143 | 2018-08-09 |
| 1659583896 | Cape Cod Ear Nose and Throat Specialists Head and Neck Surgery PC | Otolaryngology | 65 Cedar Street, Hyannis, MA 02601-3009 | 2007-05-03 |
| 1295786465 | Colden & Seymour Ear Nose Throat & Allergy LLC | Otolaryngology | 1 Wallace Bashaw Way, Suite 3002, Newburyport, MA 01950-3875 | 2006-05-13 |
| 1962492090 | Greater Milford Ear Nose and Throat Head and Neck Surgery Inc | Otolaryngology | 42 Cape Rd, Milford, MA 01757-3292 | 2005-10-28 |
| 1316280886 | Louis F Insalaco | Otolaryngology | 41 Montvale Ave Ste 200, Stoneham, MA 02180-2445 | 2013-04-02 |
| 1093041923 | David Kieff, Md, LLC | Otolaryngology | 65 Walnut St Ste 320, Wellesley, MA 02481-2118 | 2009-10-28 |
| 1063667046 | Cygnus Surgical | Otolaryngology | 158 Boston Post Rd, Weston, MA 02493-2543 | 2008-11-18 |
| 1588823421 | Cormac Dermitt Depan | Otolaryngology | 123 Summer St, Worcester, MA 01608-1216 | 2008-06-05 |
| 1396931044 | Robert A. Stern, M.d.pc | Otolaryngology | 11 Nevins St, Suite 504, Boston, MA 02135-3514 | 2007-09-17 |
| 1629268768 | Edward E Jacobs | Otolaryngology | 243 Charles St, 9th Floor, Boston, MA 02114-3002 | 2007-07-25 |
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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.