MICHAEL MITRY (NPI# 1700193406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700193406 |
| Entity Type | Individual |
| Full Name | MICHAEL MITRY |
| Credential | DPM |
| Practice Address |
1410 Highland Ave Ste 204 Needham MA 02492-4460 |
| Mailing Address |
1410 Highland Ave Ste 204 Needham MA 02492-2617 |
| Practice Telephone | 7814444044 |
| Practice Fax Number | 7814445044 |
| Mailing Telephone | 7814444044 |
| Mailing Fax Number | 7814445044 |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2018-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2384 | MA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
2384 | MA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110103207A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 East St Ste 6, Hanover, MA 023394460 | 7818261150 | 7818266052 |
| 31 Pine St Ste 206, Norfolk, MA 020564460 | 7818266110 | 7818266118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750600904 | Michael Nader Mitry | Pharmacist | 8634 Liberty Rd, Randallstown, MD 21133-4707 | 2010-05-27 |
| 1831362425 | Michael Saad Mitry | Family Medicine | 3661 Wakefield Dr, Troy, MI 48083-5358 | 2008-04-04 |
| Street Address |
1410 HIGHLAND AVE STE 204 |
| City | NEEDHAM |
| State | MA |
| Zip Code | 02492-4460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861875031 | Christopher David Karter | Podiatrist | 1410 Highland Ave Ste 204, Needham, MA 02492-2617 | 2015-07-07 |
| 1386036275 | Shenouda Corp | Podiatrist | 1410 Highland Ave Ste 204, Needham, MA 02492 | 2015-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801386255 | Jonathan M Adler | Psychologist | Olin College, 1000 Olin Way, Mh 368, Needham, MA 02492 | 2018-05-11 |
| 1972008779 | Robert H. Kelley | Social Worker | 73 Page Rd, Needham, MA 02492 | 2018-03-26 |
| 1407280100 | Nancy J Wilde | Massage Therapist | 105 Chestnut St. At Needham Family Chiro., Suite 35, Needham, MA 02492 | 2013-08-29 |
| 1013255199 | Lisa R Bello | Counselor | 1150 Great Plain Ave, Suite 920271, Needham, MA 02492 | 2013-01-23 |
| 1053548974 | Alexandra Walsh | Counselor | 1986 Central Avenue, Needham, MA 02492 | 2009-06-18 |
| 1437304086 | Bonnie Rhona Seider | Social Worker | 184 Brookline Street, Needham, MA 02492 | 2008-11-24 |
| 1710162086 | Leslie Ann Langston Brain | Social Worker | 368 Hillside Ave, Lower Level, Needham, MA 02492 | 2008-01-07 |
| 1558540179 | Richard Morris Gottlieb | Internal Medicine | 57 Dedham Ave, Needham, MA 02492 | 2007-10-31 |
| 1760677793 | William Duncan Irving | Dentist | 1116 Great Plain Avenue, Needham, MA 02492 | 2007-09-12 |
| 1033319918 | Allergy and Asthma Center of Boston | Allergy & Immunology | 300 Chestnut St Ste 600, Needham, MA 02492 | 2007-07-19 |
| Find all providers in zip 02492 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861875031 | Christopher David Karter | Podiatrist | 1410 Highland Ave Ste 204, Needham, MA 02492-2617 | 2015-07-07 |
| 1386036275 | Shenouda Corp | Podiatrist | 1410 Highland Ave Ste 204, Needham, MA 02492 | 2015-03-02 |
| 1114113503 | Needham Podiatry P.C. | Podiatrist | 145 Rosemary St Ste B, Needham, MA 02494-3259 | 2007-09-19 |
| 1073695888 | Richard W. Cullen, Dpm, P.C. | Podiatrist | 300 Chestnut St, Needham, MA 02492-2497 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096261 | East Point Foot & Ankle PC | Podiatrist | 250 N Main St Ste 102, E Longmeadow, MA 01028-1834 | 2020-03-03 |
| 1144705443 | Bay State Foot & Ankle Specialists, LLC | Podiatrist | 380 Lowell St Ste 102, Wakefield, MA 01880-1984 | 2018-10-02 |
| 1396230298 | Samuel Caine | Podiatrist | 732 Harrison Ave Fl 5, Boston, MA 02118-2309 | 2018-06-25 |
| 1467982413 | Navicular LLC | Podiatrist | 140 Park St Ste 1, Attleboro, MA 02703-8048 | 2017-06-13 |
| 1669904140 | Zachary Sax | Podiatrist | 264 Beacon St Fl 2, Boston, MA 02116-1236 | 2017-04-03 |
| 1215488937 | Brian D Tedesco, Dpm & George A Abboud, Dpm PC | Podiatrist | 30 Newcrossing Road, Suite 311, Reading, MA 01867 | 2016-10-18 |
| 1487107769 | Chih Kang David Liou | Podiatrist | 10 Beacon St, Somerville, MA 02143-4311 | 2016-08-03 |
| 1477905446 | Erik Henriksen | Podiatrist | 116 Court St Ste 3, Plymouth, MA 02360-8710 | 2016-07-01 |
| 1922459973 | Kelly Noonan | Podiatrist | 451 Andover St Ste 209, North Andover, MA 01845 | 2016-06-30 |
| 1831503549 | Julie Riley | Podiatrist | 409 Pond St Ste 3, Braintree, MA 02184-6853 | 2014-06-20 |
| 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.