SAMAR A CHOUBAH (NPI# 1588698245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588698245 |
| Entity Type | Individual |
| Full Name | SAMAR A CHOUBAH |
| Credential | M.D. |
| Practice Address |
650 Centre St Brockton MA 02302-3308 |
| Mailing Address |
287 Summer St Norwell MA 02061-1029 |
| Practice Telephone | 5089417766 |
| Practice Fax Number | 5085845455 |
| Mailing Telephone | 5089417009 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
227452 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2120402 | 05 |
| Street Address |
650 CENTRE ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891723334 | Harold Michlewitz | Obstetrics & Gynecology | 650 Centre St, Brockton, MA 02302-3308 | 2006-06-30 |
| 1811306061 | Melissa Lauren Kirkland | Nurse Practitioner | 650 Centre St, Brockton, MA 02302-3308 | 2014-08-12 |
| 1619127040 | Martha P Slattery | Nurse Practitioner | 650 Centre St, Suite 102w, Brockton, MA 02302-3308 | 2008-09-23 |
| 1124149364 | Brooke J Bloom | Obstetrics & Gynecology | 650 Centre St, Brockton, MA 02302-3308 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508098583 | Navneet K Pala | Internal Medicine | 63 Main St, Brockton, MA 02301-4042 | 2009-08-10 |
| 1932209038 | Vasantha G Reddy | Internal Medicine | 63 Main St, Brockton, MA 02301-4042 | 2006-09-25 |
| 1013019876 | Gloria Ibarra | Internal Medicine | 63 Main St, Brockton, MA 02301-4042 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447604590 | Denise H. Wong | Internal Medicine | 720 Harrison Ave Ste 8100, Boston, MA 02118-2371 | 2016-04-14 |
| 1518334515 | Stephany Khalil Matta | Internal Medicine | 75 Kneeland St Lbby 5, Boston, MA 02111-1906 | 2015-08-25 |
| 1972982205 | Karen Mccloskey | Internal Medicine | 110 Francis St Ste 6a, Boston, MA 02215-5501 | 2015-05-19 |
| 1568873230 | Eric David Nolen-doerr | Internal Medicine | 720 Harrison Ave Ste 801, Boston, MA 02118-2326 | 2014-05-15 |
| 1790117133 | Z Hinedi Md PC | Internal Medicine | 145 Hampton Rd, Sharon, MA 02067-3203 | 2013-08-08 |
| 1134564859 | Sravanthi Madala | Internal Medicine | 131 Old Road To 9 Acre Cor Ste 700, Concord, MA 01742 | 2013-05-08 |
| 1932462660 | Frederick Thomas Murray | Internal Medicine | 50 Pinehills Dr, Suite 201, Plymouth, MA 02360-7807 | 2012-06-18 |
| 1952662710 | Susan Choe | Internal Medicine | Lahey Outpatient Center @ Danvers, 480 Maple Street 1st Fl, Danvers, MA 01923 | 2012-06-07 |
| 1710243621 | Michele A Gortakowski | Internal Medicine | 3300 Main St Fl 3, Springfield, MA 01107-1112 | 2012-04-04 |
| 1750678520 | Shayhira Suazo Herrera | Internal Medicine | 8 Isabella Street, Holyoke Medical Center - Endocrinology & Diabetes Ctr., Holyoke, MA 01040 | 2011-06-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAMAR A CHOUBAH.
| 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.