DR. UMA A. DHANABALAN (NPI# 1629106679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629106679 |
| Entity Type | Individual |
| Full Name | DR. UMA A. DHANABALAN |
| Credential | MD, MPH, FAAFP |
| Practice Address |
830 Oak St Brockton MA 02301-1168 |
| Mailing Address |
77 Warren St Room 339 Brighton MA 02135-3601 |
| Practice Telephone | 5088974711 |
| Practice Fax Number | 6175625415 |
| Mailing Telephone | 6175625612 |
| Mailing Fax Number | 6175625415 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
157551 | MA | Ambulatory Health Care Facilities |
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
157551 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | Z006251 | 05 | |
| MA | AETNA | 1319219 | 01 |
| MA | HARVARD PILGRIM | AA65606 | 01 |
| MA | BLUE CROSS BLUE SHIELD | J26406 | 01 |
| Street Address |
830 OAK ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288943 | Shreekant Chopra | Internal Medicine | 830 Oak St, 125e, Brockton, MA 02301-1168 | 2005-07-12 |
| 1215279039 | Hoch LLC | Obstetrics & Gynecology | 830 Oak St, Ste 102w, Brockton, MA 02301 | 2013-03-19 |
| 1104116458 | Esp Med LLC | Internal Medicine | 830 Oak St, Suite 102w, Brockton, MA 02301-1168 | 2011-04-07 |
| 1548592934 | Esp Medical LLC | Internal Medicine | 830 Oak St, Suite 102w, Brockton, MA 02301-1168 | 2010-02-10 |
| 1548416449 | Irma A Alarcon Najera | Internal Medicine | 830 Oak St, Suite 105w, Brockton, MA 02301-1168 | 2008-08-11 |
| 1306029970 | Amy E Harding | Nurse Practitioner | 830 Oak St, Suite 223e, Brockton, MA 02301-1168 | 2007-12-06 |
| 1912048414 | Renal Medical Care, PC | Internal Medicine | 830 Oak St, Suite 125e, Brockton, MA 02301-1168 | 2007-02-09 |
| 1558427070 | Hanjani PC | Obstetrics & Gynecology | 830 Oak St, Ste 201w, Brockton, MA 02301-1168 | 2006-12-29 |
| 1386700706 | Shenbagavali Ramaswami, Md | Obstetrics & Gynecology | 830 Oak St, Ste 102w, Brockton, MA 02301-1168 | 2006-12-29 |
| 1750458451 | Oral and Maxillofacial Surgery, Inc. | Dentist | 830 Oak St, Suite 101w, Brockton, MA 02301-1168 | 2006-11-29 |
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|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649897620 | Ohs Total Care | Clinic/Center | 1340 Soldiers Field Rd Ste 3, Brighton, MA 02135-1000 | 2020-06-25 |
| 1023342193 | Astrazeneca Lp | Clinic/Center | 50 Otis St, Westborough, MA 01581-3323 | 2009-09-23 |
| 1861726937 | Astrazeneca Lp | Clinic/Center | 35 Gatehouse Dr, Waltham, MA 02451-1215 | 2009-09-23 |
| 1992955702 | Mt. Auburn Hospital Occ Health Services | Clinic/Center | 1 Burtt Rd, Andover, MA 01810-5901 | 2008-09-29 |
| 1982820239 | Boston Medical Center | Clinic/Center | 5 Sunset Ave, North Reading, MA 01864-1407 | 2007-04-17 |
| 1154547446 | Caritas Good Samaritan Occupational Health Services,inc. | Clinic/Center | 75 Stockwell Dr, Avon, MA 02322-1170 | 2007-04-17 |
| 1043767577 | Harvard University | Clinic/Center | 677 Huntington Ave, Boston, MA 02115-6028 | 2016-09-01 |
| 1174977854 | Ironstone Farm | Clinic/Center | 450 Lowell St, Andover, MA 01810-5305 | 2016-04-19 |
| 1194193193 | Parent Co Inc | Clinic/Center | 200 N Main St, Suite 5, East Longmeadow, MA 01028-2392 | 2015-09-08 |
| 1083983688 | Kadre Health Solutions, Inc. | Clinic/Center | 220 Reservoir St, Suite 25, Needham, MA 02494-3149 | 2011-12-28 |
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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.