IORA HEALTH, INC (NPI# 1639553860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639553860 |
| Entity Type | Organization |
| Organization Name | IORA HEALTH, INC |
| Practice Address |
912 River St 201 Hyde Park MA 02136-3715 |
| Mailing Address |
101 Tremont St Fl 6 Boston MA 02108-5004 |
| Practice Telephone | 6176492255 |
| Mailing Telephone | 6174544672 |
| Mailing Fax Number | 6177017740 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2016-12-09 |
| Authorized Official Name | DR. MARC-DAVID MUNK (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6174544672 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487024832 | Iora Health, Inc | Internal Medicine | 287 Middlesex Ave, Medford, MA 02155-5056 | 2015-09-29 |
| 1104230622 | Iora Health, Inc | General Practice | 101 Tremont St Fl 6, Boston, MA 02108-5004 | 2014-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | IORA HEALTH, INC. | 101 Tremont Street, 6th Floor, Boston, MA 02108 |
| Colorado Business Entities | Iora Health, Inc. | 101 Tremont Street, 6th Floor, Boston, MA 02108 |
| Massachusetts Corporations | IORA HEALTH, INC. | 101 Tremont Street, 6th Flr, Boston, MA 02108 |
| Street Address |
912 RIVER ST 201 |
| City | HYDE PARK |
| State | MA |
| Zip Code | 02136-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306166277 | Ravi Kavasery | Internal Medicine | 912 River St, Suite 201, Hyde Park, MA 02136-3715 | 2010-06-02 |
| 1396301578 | Jenna Elise Swotinsky | Dentist | 912 River St, Hyde Park, MA 02136-3715 | 2019-05-14 |
| 1265917306 | Gunjanbhai Rameshbhai Patel | Dentist | 912 River St, Hyde Park, MA 02136-3715 | 2018-09-25 |
| 1225480429 | Susan Lynn Cunningham | Dentist | 912 River St, Hyde Park, MA 02136-3715 | 2016-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952892564 | Dionne Latrice | Counselor | 695 Truman Pwky, Boston, MA 02136 | 2018-05-21 |
| 1134622426 | Light House Behavioral Health and Wellness Center Inc. | Community/Behavioral Health | 1 Westinghouse Plaza, A-216, Boston, MA 02136 | 2018-03-13 |
| 1396168795 | Living Well | Home Health | 53 Oak St, Hyde Park, MA 02136 | 2014-01-22 |
| 1891051074 | Marie Ronique Yilain | Licensed Practical Nurse | 59 Cromwell Rd, Hyde Park, MA 02136 | 2012-04-02 |
| 1033410543 | Stephanie Sabrina Seigle | Counselor | 5 Linden Ave, Hyde Park, MA 02136 | 2010-11-15 |
| 1699075747 | Jeffrey Meisner | Physical Therapist | 188 Providence Street, Boston Pain Clinic, Hyde Park, MA 02136 | 2010-10-22 |
| 1356593743 | Supplemantal Health Care Services | Residential Treatment Facility, Physical Disabilities | 731 Truman Hwy, Hyde Park, MA 02136 | 2008-10-16 |
| 1407023047 | Amy Elizabeth Delaney | Nurse Practitioner | 695 Truman Parkway, Suite 203, Hyde Park Pediatrics, Hyde Park, MA 02136 | 2008-05-13 |
| 1629254263 | Alla Urman | Nurse Practitioner | 1274 Hyde Park Ave, Hyde Park, MA 02136 | 2008-01-14 |
| 1912106980 | Marina Williams | Counselor | 1158 Hyde Park Ave, Hyde Park, MA 02136 | 2007-07-11 |
| Find all providers in zip 02136 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1891206579 | Iora Health Massachusetts, P.C. | Internal Medicine | 912 River St Ste 201, Hyde Park, MA 02136-3715 | 2017-10-20 |
| 1861815300 | Perfect Health PC | Internal Medicine | 1344 Hyde Park Ave, Hyde Park, MA 02136-2737 | 2014-02-03 |
| 1306166277 | Ravi Kavasery | Internal Medicine | 912 River St, Suite 201, Hyde Park, MA 02136-3715 | 2010-06-02 |
| 1063551554 | Rosemary Ryan | Internal Medicine | 338 West St, Hyde Park, MA 02136-1320 | 2007-02-05 |
| 1114080116 | James Joseph Mahoney | Internal Medicine | 695 Truman Highway, Hyde Park, MA 02136 | 2006-12-19 |
| 1083659627 | David S Cho, Md, Pllc | Internal Medicine | 4 Crumwold Pl, Hyde Park, NY 12538-1107 | 2006-06-18 |
| 1487699245 | Gregory Talalayevsky | Internal Medicine | 1272-74 Hyde Park Ave, Hyde Park, MA 02136-2702 | 2006-06-17 |
| 1902874399 | Cecilia Tesoro Arboleda | Internal Medicine | 4305 Albany Post Rd, Hyde Park, NY 12538-3601 | 2006-03-10 |
| 1033107693 | Gregory Talalayevsky, Md PC | Internal Medicine | 1272 Hyde Park Ave Num 74, Hyde Park, MA 02136-2702 | 2005-10-07 |
| 1558356568 | Ronald L Warner | Internal Medicine | 1337 Hyde Park Ave, C/o Hyde Park Medical Care, Hyde Park, MA 02136-2713 | 2005-09-15 |
| Find all providers in HYDE PARK | ||||
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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.