MT AUBURN PROFESSIONAL OBGYN (NPI# 1609291376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609291376 |
| Entity Type | Organization |
| Organization Name | MT AUBURN PROFESSIONAL OBGYN |
| Practice Address |
One Arsenal Marketplace Watertown MA 02472-2861 |
| Practice Telephone | 6174995644 |
| Practice Fax Number | 6174995620 |
| Mailing Telephone | 6174995644 |
| Mailing Fax Number | 6174995620 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2019-09-09 |
| Authorized Official Name | AGNES M NUNZIATO (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Telephone | 6176731851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
MA | Allopathic & Osteopathic Physicians | |
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
MA | Allopathic & Osteopathic Physicians |
| Street Address |
ONE ARSENAL MARKETPLACE |
| City | WATERTOWN |
| State | MA |
| Zip Code | 02472-2861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992750996 | Mt Auburn Professional Services | Emergency Medicine | One Arsenal Marketplace, Watertown, MA 02472-2861 | 2006-05-24 |
| 1255674636 | Mt Auburn Prof Services | Internal Medicine | One Arsenal Marketplace, Watertown, MA 02472-2861 | 2013-04-03 |
| 1164640306 | Mt Auburn Professional Services | Emergency Medicine | One Arsenal Marketplace, Watertown, MA 02472 | 2007-04-23 |
| 1407865439 | Mt Auburn Professional Services | Obstetrics & Gynecology | One Arsenal Marketplace, Watertown, MA 02472 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735327 | Gladys Nakungu Kasansula | Counselor | Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 | 2018-10-09 |
| 1447741962 | Hannah Edward | Optometrist | 550 Arsenal Street, Watertown, MA 02472 | 2018-05-21 |
| 1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
| 1376067355 | Mostafa Medhati | Acupuncturist | 265 Lexington St., Watertown, MA 02472 | 2017-08-01 |
| 1003346313 | Eric Trant | Specialist/Technologist | 50 Columbia Street, Watertown, MA 02472 | 2017-06-19 |
| 1477007730 | Neangkanika Chea | Nurse Practitioner | 2 Repton Place, Apt 2204, Watertown, MA 02472 | 2016-08-04 |
| 1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
| 1760875496 | Ece Evin Yildirim | Acupuncturist | 557 Mt. Auburn St, Watertown, MA 02472 | 2015-03-05 |
| 1396140927 | Fabrizia Torazzi | Behavioral Analyst | 51 Water Street, Suite 200, Watertown, MA 02472 | 2014-10-24 |
| 1265774392 | Emilia Ann Fulop | Social Worker | 127 North Beacon Street, Watertown, MA 02472 | 2013-03-27 |
| Find all providers in zip 02472 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407865439 | Mt Auburn Professional Services | Obstetrics & Gynecology | One Arsenal Marketplace, Watertown, MA 02472 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942207774 | Arlan F Fuller Jr. | Obstetrics & Gynecology | 620 Washington Street, Winchester, MA 01890 | 2005-07-07 |
| 1912347519 | Erica Weston | Obstetrics & Gynecology | 3300 Main St, Springfield, MA 01107-1112 | 2013-06-27 |
| 1558707877 | Emily Moss Hinchcliff | Obstetrics & Gynecology | 75 Francis St, Brigham and Womens Obgyn Residency Program, Boston, MA 02115-6110 | 2013-05-14 |
| 1982967444 | Stephen James Fiascone | Obstetrics & Gynecology | 850 Harrison Ave # Yacc5, Boston, MA 02118-4001 | 2012-06-20 |
| 1376803148 | Lindsay Morgan West | Obstetrics & Gynecology | 3300 Main Street, 4th Floor, Springfield, MA 01107-1112 | 2012-05-25 |
| 1720390719 | Taymaa May | Obstetrics & Gynecology | 75 Francis St., Brigham and Women's Hospital, Division of Gyn Oncology, Boston, MA 02115 | 2010-07-08 |
| 1538483003 | Caroline Cristina Nitschmann | Obstetrics & Gynecology | 41 Mall Road Lahey Hospital and Medical Center, Burlington, MA 01805 | 2010-03-26 |
| 1649594136 | David I Shalowitz | Obstetrics & Gynecology | 75 Francis St, Asb1-3-078, Boston, MA 02115-6110 | 2010-03-26 |
| 1437326105 | Jennifer Ann Ducie | Obstetrics & Gynecology | 206 Mill Rd, Fairhaven, MA 02719-5208 | 2008-05-13 |
| 1093859753 | Joanna Mary Cain | Obstetrics & Gynecology | 119 Belmont St, Worcester, MA 01605-2903 | 2007-02-16 |
| Find all providers with the same taxonomy | ||||
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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.