LISA F ANTONELLI (NPI# 1639169618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639169618 |
| Entity Type | Individual |
| Full Name | LISA F ANTONELLI |
| Credential | MD |
| Practice Address |
2100 Dorchester Avenue Smg - Carney Hospital Dorchester MA 02124 |
| Practice Telephone | 6172964000 |
| Practice Fax Number | 6174743860 |
| Mailing Telephone | 6172964000 |
| Mailing Fax Number | 6174743860 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2011-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
72272 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HPHC | 60264 | 01 |
| MA | 3060284 | 05 | |
| MA | BCBS | J09499 | 01 |
| MA | TUFTS | 755370 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962577361 | Lisa M Antonelli | Nurse Practitioner | 266 Rindge Ave # B, Cambridge, MA 02140-3202 | 2006-11-21 |
| 1093892390 | Lisa Anne Antonelli | Dentist | 330 Plantation Street, Worcester, MA 01604 | 2006-11-01 |
| Street Address |
2100 DORCHESTER AVENUE SMG - CARNEY HOSPITAL |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321347 | Chinh Van Le | Family Medicine | 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124 | 2005-07-28 |
| 1235651449 | Monia Chopra | Internal Medicine | 2100 Dorchester Avenue, Dorchester, MA 02124 | 2017-07-10 |
| 1376845958 | Greater Boston Urology, LLC | Urology | 2100 Dorchester Avenue, Suite 2206, Dorchester, MA 02124-5615 | 2010-12-02 |
| 1922251776 | Nancy Dowling | Dietitian, Registered | 2100 Dorchester Avenue, Outpatient Nutrition, Dorchester, MA 02124-5666 | 2008-10-24 |
| 1497823579 | Caritas Carney Hospital-psychiatry | Psychiatric Unit | 2100 Dorchester Avenue, Dorchester, MA 02124 | 2006-11-30 |
| 1639137136 | Taranga Ghosh | Hospitalist | 2100 Dorchester Avenue, Carney Hospital, Dorchester, MA 02124 | 2006-05-03 |
| 1225017627 | Padma Gulur | Anesthesiology | 2100 Dorchester Avenue, 7th Floor, Dorchester, MA 02124-5615 | 2006-01-13 |
| 1174502140 | Glennon John Ogrady | Family Medicine | 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124 | 2006-01-10 |
| 1780674531 | Michael J. Barza | Internal Medicine | 2100 Dorchester Avenue, Dorchester, MA 02124-5666 | 2005-10-24 |
| 1528069499 | Olga Volfson | Anesthesiology | 2100 Dorchester Avenue, 7th Floor, Dorchester, MA 02124-5615 | 2005-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396356556 | Lifestyle Medical and Cardiovascular Associates PC | Internal Medicine | 300 Boylston St Ste 201, Chestnut Hill, MA 02467-1978 | 2020-08-12 |
| 1083186498 | Cape Cardiology Md PC | Internal Medicine | 125 Underpass Rd, Brewster, MA 02631-1810 | 2018-12-24 |
| 1558868141 | Reading Cardiology Assoc. 2 PC | Internal Medicine | 21 Main St Ste 2, North Reading, MA 01864-5001 | 2018-04-10 |
| 1447768510 | Vhs Acquisition Subsidiary Number 7 Inc | Internal Medicine | 20 Washington Sq Fl 2, Worcester, MA 01604-4013 | 2018-01-11 |
| 1386165470 | Malik Bilal Ahmed | Internal Medicine | 800 Washington Street Mailbox #315, Boston, MA 02111 | 2017-06-29 |
| 1114370269 | Carol Lynn Goldstein | Internal Medicine | 19 Sengekontacket Rd, Edgartown, MA 02539-7829 | 2016-07-13 |
| 1760867667 | Chi Hong Chau | Internal Medicine | 400 Brookline Ave Apt 15a, Boston, MA 02215-5406 | 2015-07-21 |
| 1972916039 | Adam T Phillips | Internal Medicine | 185 Pilgrim Rd Fl Baker4, Boston, MA 02215 | 2014-06-06 |
| 1811315831 | Newburyport Cardiovascular Associates, LLC | Internal Medicine | 7 Henry Graf Jr. Road, Newburyport, MA 01950 | 2014-04-07 |
| 1760809818 | Subhasree Panchangam | Internal Medicine | 830 Harrison Ave Bldg 3500, Boston, MA 02118-2905 | 2014-03-26 |
| Find all providers with the same taxonomy | ||||
| City | DORCHESTER |
| Zip Code | 02124 |
Please comment or provide details below to improve the information on LISA F ANTONELLI.
| 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.