VIKKI LOUISE NOONAN (NPI# 1619980745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619980745 |
| Entity Type | Individual |
| Full Name | VIKKI LOUISE NOONAN |
| Other Name | VIKKI LOUISE VAUGHN |
| Credential | D.M.D., D.M.SC. |
| Practice Address |
133 Brookline Ave 6th Floor;harvard Vanguard Medical Assoc.;dept of Path. Boston MA 02215-3904 |
| Practice Telephone | 6174212844 |
| Practice Fax Number | 6174212423 |
| Mailing Telephone | 6174212844 |
| Mailing Fax Number | 6174212423 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2009-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
19519 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HARVARD PILGRIM | AA27554 | 01 | |
| MA | 0203718 | 05 | |
| BLUE CROSS | X09107 | 01 |
| Street Address |
133 BROOKLINE AVE 6TH FLOOR;HARVARD VANGUARD MEDICAL ASSOC.;DEPT OF PATH. |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720084833 | Claire Tine Cronin | Surgery | 133 Brookline Ave, Boston, MA 02215-3904 | 2005-06-23 |
| 1750992921 | Jessica Yang | Clinical Nurse Specialist | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-08-12 |
| 1386266104 | Mhg Physician Services - California | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-05-14 |
| 1164051520 | Mhg Physician Services - Oregon LLC | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-04-07 |
| 1629604889 | Jessica Lareau | Counselor | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-03-19 |
| 1922651199 | Rachel Lang Caso | Social Worker | 133 Brookline Ave, Boston, MA 02215-3904 | 2019-07-17 |
| 1134698244 | Ewan D Mcnicol | Pharmacist | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-11-19 |
| 1518433531 | Mhg Physician Services - Massachusetts Pllc | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-10-17 |
| 1477038867 | Chantal C. Coughlin | Nurse Practitioner | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-10-01 |
| 1376027227 | Mhg Clinical Services LLC | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275708455 | Devaki Sundararajan | Dentist | 100 E Newton St # G04, Oral Pathology Department, Boston, MA 02118-2308 | 2008-04-28 |
| 1295819217 | Mark A Lerman | Dentist | 1 Kneeland St Rm 646, Boston, MA 02111-1527 | 2006-10-25 |
| 1255441804 | Sadru P Kabani | Dentist | 100 E Newton St G-04, Bonston Univ of Dental Med, Dept of Oral & Maxillo Path, Boston, MA 02118-2308 | 2006-08-30 |
| 1942291489 | George Thomas Gallagher | Dentist | 100 E Newton St, G 04, Boston, MA 02118-2651 | 2005-11-03 |
| 1588176234 | Ibrahim Saleh Akeel | Dentist | 75 Francis St, Boston, MA 02115-6110 | 2017-11-02 |
| 1578075248 | Lama Alabdulaaly | Dentist | 45 Francis St, Boston, MA 02115-6105 | 2017-11-02 |
| 1407386766 | Hani Massoud Hanna | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2017-06-19 |
| 1508303660 | Asma Almazyad | Dentist | 75 Francis St, Brigham and Women's Hospital, Boston, MA 02115-6110 | 2017-01-27 |
| 1548662224 | Reshma Menon | Dentist | 188 Longwood Ave, Hsdm, Boston, MA 02115-9998 | 2014-09-24 |
| 1174946990 | Maher Alnammary | Dentist | 75 Francis St, Brigham and Women's Hospital - Div. Oral Medicine, Boston, MA 02115-6110 | 2014-01-30 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on VIKKI LOUISE NOONAN.
| 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.