HAROLD GREGORY OTA (NPI# 1598839821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598839821 |
| Entity Type | Individual |
| Full Name | HAROLD GREGORY OTA |
| Credential | MD |
| Practice Address |
101 Main St Suite 216 Medford MA 02155-4540 |
| Practice Telephone | 7818741965 |
| Practice Fax Number | 7818741967 |
| Mailing Telephone | 7818741965 |
| Mailing Fax Number | 7818741967 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2011-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 54244 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN | 705758 | 01 |
| MA | 3083233 | 05 | |
| MA | BCBS MA | J05336 | 01 |
| Street Address |
101 MAIN ST SUITE 216 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-4540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809411 | Raymond S. Murano | Podiatrist | 101 Main St, Ste 207, Medford, MA 02155-4530 | 2005-05-30 |
| 1063805851 | Diane Coste | Nurse Practitioner | 101 Main St, Suite 110, Medford, MA 02155-4540 | 2015-03-18 |
| 1942543764 | Neelam M. Thacker, M.d. | Clinic/Center | 101 Main St, #210, Medford, MA 02155-4540 | 2013-03-29 |
| 1801134416 | Jason M. Gilbert, M.d.p.c. | Ophthalmology | 101 Main St, Suite 208, Medford, MA 02155-4540 | 2013-01-17 |
| 1275878076 | Nicole Marie Hersel | Nurse Practitioner | 101 Main St, Suite 201, Medford, MA 02155-4540 | 2012-12-05 |
| 1033491766 | H. Gregory Ota, M.d., P.c | Clinic/Center | 101 Main St, Suite 216, Medford, MA 02155-4540 | 2011-09-20 |
| 1679866156 | Anthony Michael Paolucci | Dentist | 101 Main St, #206, Medford, MA 02155-4540 | 2011-05-17 |
| 1235434762 | Karen Ann Quigley | Dentist | 101 Main St, Suite 206, Medford, MA 02155-4540 | 2011-01-13 |
| 1023348935 | Jason M. Gilbert, M.d. P.C. | Ophthalmology | 101 Main St, Suite 208, Medford, MA 02155-4540 | 2009-12-29 |
| 1215164744 | James Andriotakis | Physical Medicine & Rehabilitation | 101 Main St, Suite 101, Medford, MA 02155-4540 | 2009-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265410211 | Jonathan H Lee | Otolaryngology | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-01-09 |
| 1811158884 | Joseph Capt Clarke | Otolaryngology | 1170 Royal Ave, Medford, OR 97504-6101 | 2008-06-22 |
| 1669490546 | Medford Ear Nose and Throat Clinic PC | Otolaryngology | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-07-18 |
| 1952327280 | Elizabeth H Steele | Otolaryngology | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-07-13 |
| 1972529212 | Jay B Reeck | Otolaryngology | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-07-13 |
| 1619993953 | David W Chambers | Otolaryngology | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-07-13 |
| 1194741439 | Sean J Traynor | Otolaryngology | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-07-13 |
| 1194716308 | David Marsh Bowling | Otolaryngology | 101 Main St, Suite 211, Medford, MA 02155-4540 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215497938 | Emily Gall | Otolaryngology | 860 Washington St Fl 1, Boston, MA 02111-1521 | 2019-03-20 |
| 1538628789 | Pratima Agarwal | Otolaryngology | 800 Harrison Avenue, Bcd 5th Floor, Boston, MA 02118 | 2019-03-18 |
| 1669945887 | Meea-cape Cod Pho LLC | Otolaryngology | 5 Industrial Dr Ste 201, Mashpee, MA 02649-3465 | 2019-01-10 |
| 1184118564 | Massachusetts Ent Consultants LLC | Otolaryngology | 100 Sylvan Rd Ste 750, Woburn, MA 01801-1852 | 2018-06-19 |
| 1497259212 | Michal Plocienniczak | Otolaryngology | 830 Harrison Ave Fl 1, Boston, MA 02118-2905 | 2018-03-19 |
| 1124479282 | Jordan Glicksman | Otolaryngology | 104 Endicott St Ste 100, Danvers, MA 01923-3623 | 2016-06-29 |
| 1396158507 | Erin Haser | Otolaryngology | 800 Washington St # 850, Department of Otolaryngology, Boston, MA 02111-1552 | 2014-06-05 |
| 1447675152 | Taleb Barghouthi | Otolaryngology | 300 Longwood Venue, Boston Children's Hospital, Boston, MA 02115 | 2014-03-04 |
| 1538507512 | Ameer Trilok Shah | Otolaryngology | 35 Pearl St Ste 200, Brockton, MA 02301 | 2013-06-12 |
| 1932442662 | Scott Finlay | Otolaryngology | 3 Meeting House Rd Ste 23and24, Chelmsford, MA 01824 | 2013-04-01 |
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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.