THEODORE GULDEMOND


Address: 500 Salem St, Wilmington, MA 01887-1200
Phone: 9789886000

THEODORE GULDEMOND (NPI# 1598721524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598721524
Entity Type Individual
Full Name THEODORE GULDEMOND
Credential M.D.
Practice Address 500 Salem St
Wilmington
MA 01887-1200
Mailing Address Po Box 760
Winchester
MA 01890-4260
Practice Telephone 9789886000
Practice Fax Number 9786574169
Mailing Telephone 7817567273
Mailing Fax Number 7817567274
Enumeration Date 2006-04-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 49802 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 3033414 05

Office Location

Street Address 500 SALEM ST
City WILMINGTON
State MA
Zip Code 01887-1200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225029648 Sandy Stephens Pediatrics 500 Salem St, Wilmington, MA 01887-1200 2005-11-03
1679031959 Haley Govoni Nurse Practitioner 500 Salem St, Wilmington, MA 01887-1200 2019-03-06
1225487432 Gayathry Sooriyakumar Nene Pediatrics 500 Salem St, Wilmington, MA 01887-1200 2016-06-08
1326398207 Sara Marie Barnes Audiologist-Hearing Aid Fitter 500 Salem St, Route 62, Wilmington, MA 01887-1200 2012-09-18
1407104060 Kristen Laramie Wagoner Nurse Practitioner 500 Salem St, Wilmington, MA 01887-1200 2012-08-29
1992944995 Jessica Marie Delaney-sloper Nurse Practitioner 500 Salem St, Wilmington, MA 01887-1200 2009-02-13
1073637393 Pamela Jean Cote Dietitian, Registered 500 Salem St, Winchester Hospital Family Medical Center, Wilmington, MA 01887-1200 2007-03-19
1790841591 Wilmington Pediatrics, Inc. Pediatrics 500 Salem St, Wilmington, MA 01887-1200 2006-12-28
1669540415 Sarah Kashi Audiologist 500 Salem St, Wilmington, MA 01887-1200 2006-12-01
1003856543 Mark A Macklis Obstetrics & Gynecology 500 Salem St, Wilmington, MA 01887-1200 2006-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396208039 Wilmington Rehab Center LLC Skilled Nursing Facility 90 West Street, Wilmington, MA 01887 2019-04-10
1912444159 Myriam Mercedes Claudio Moser Physical Therapist 230 Lowell Street, Suite 2d, Wilmington, MA 01887 2017-01-26
1831430842 Maribeth Crupi Physical Therpay LLC Clinic/Center 10 Elizabeth Drive, Wilmington, MA 01887 2013-03-15
1497027643 Kristie Demirev Social Worker 113 West St, Wilmington, MA 01887 2012-02-03
1780828434 Dental Care of Wilmington, LLC Dentist 66 Unit T Concord St, Wilmington, MA 01887 2009-04-25
1316191844 Rem Medical Equipment LLC Durable Medical Equipment & Medical Supplies 187 Ballardvale Street, Suite 202, Wilmington, MA 01887 2008-11-11
1982894622 Angie Faith Brenner Social Worker 5 Middlesex Ave., Suite 11, Wilmington, MA 01887 2007-07-30
1093847345 Deborah Ann Edgerly Dentist 388 Rear Main Street, Wilmington, MA 01887 2007-03-12
1033240817 Wilminton Public Schools Local Education Agency (LEA) 161 Church St., Wilmington, MA 01887 2007-03-07
1013046176 Occupational Health Centers of The Southwest, P.a., Co. Clinic/Center 66b Concord St., Wilmington, MA 01887 2007-03-05
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891357760 Essentials Medical Group De LLC Internal Medicine 3700 Lancaster Pike Ste 301, Wilmington, DE 19805-1511 2019-07-01
1467815191 Jenna Leigh Laughlin Internal Medicine 501 W 14th St., Wilmington, DE 19801 2016-03-31
1578982666 Shannon E. Pan Internal Medicine 3301 Lancaster Pike Ste 9, Wilmington, DE 19805-1436 2014-04-16
1922428044 Katelyn Fritzges Internal Medicine 3506 Kennett Pike Ste 230, Wilmington, DE 19807-3019 2014-04-16
1902241441 Brenden David Connor Internal Medicine 2006 Limestone Rd Ste 7, Wilmington, DE 19808 2013-05-09
1619221744 Monika Partyka-zdunek Internal Medicine 625 Black Gates Rd, Wilmington, DE 19803-2239 2012-10-26
1982963443 Kathryn Sweeney El-amraoui Internal Medicine 4512 Kirkwood Hwy Ste 300, Wilmington, DE 19808-5129 2012-05-03
1558635714 Allison Bronwen Evans Internal Medicine 1203 Barley Mill Rd, Wilmington, DE 19807-2225 2012-03-05
1225301971 Romil Rasik Patel Internal Medicine 2006 Limestone Road, Suite 7, Wilmington, DE 19808 2012-02-10
1982976692 Joseph M Molina Md Professional Corporation-southern California Internal Medicine 445 E. Anaheim Street, #h, Wilmington, CA 90744-4600 2012-01-27
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Competitor

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City WILMINGTON
Zip Code 01887

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Dataset Information

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.

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