HENRY DEGROOT III (NPI# 1710958723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710958723 |
| Entity Type | Individual |
| Full Name | HENRY DEGROOT III |
| Credential | M.D. |
| Practice Address |
2000 Washington St Suite 544 Newton MA 02462-1650 |
| Practice Telephone | 6177969922 |
| Practice Fax Number | 6177969923 |
| Mailing Telephone | 6177969922 |
| Mailing Fax Number | 6177969923 |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2020-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD23728 | ME | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
ME121606 | FL | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
MA79171 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 95360 Overseas Hwy Ste 11, Key Largo, FL 330372038 | 3053632954 | 3053632955 |
| 925 Toppino Dr, Key West, FL 330404269 | 3052962212 | 3052962209 |
| 5900 College Rd, Key West, FL 330404342 | 3052945531 | |
| 1111 12th St Ste 112, Key West, FL 330404087 | 3052962212 | |
| 690 Minot Ave, Auburn, ME 042103922 | 2077831328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346260411 | Henry Eric Degroot | Dermatology | 1101 S . Dora St., Ukiah, CA 95482 | 2006-07-20 |
| Street Address |
2000 WASHINGTON ST SUITE 544 |
| City | NEWTON |
| State | MA |
| Zip Code | 02462-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417952284 | Mitchell Abramson | Internal Medicine | 2000 Washington St, Suite 104, Blue Building, Newton, MA 02462-1650 | 2005-06-16 |
| 1023668209 | Christopher David Caissie | Physician Assistant | 2000 Washington St, Newton, MA 02462-1650 | 2019-09-18 |
| 1760905699 | Jacquelyn Kate Harrow | Internal Medicine | 2000 Washington St, Newton, MA 02462-1650 | 2017-07-23 |
| 1922531615 | Elizabeth Brooks | Physician Assistant | 2000 Washington St, Suite Wh/441, Newton, MA 02462-1650 | 2017-04-10 |
| 1801327648 | Kevin Patrick Mcdonnell | Physician Assistant | 2000 Washington St, Suite Wh/441, Newton, MA 02462-1650 | 2017-03-23 |
| 1750733382 | Jeffrey Mark Lingenfelter | Physician Assistant | 2000 Washington St, Suite 341 White Building, Newton, MA 02462-1650 | 2016-07-07 |
| 1538520713 | Johanna Geoghegan | Physician Assistant | 2000 Washington St, Blue 201, Newton, MA 02462-1650 | 2016-03-15 |
| 1689047193 | Saltzman Urological Associates | Pathology | 2000 Washington St, 660 Green, Newton, MA 02462-1650 | 2015-11-05 |
| 1225424591 | Cassandra Tang | Physician Assistant | 2000 Washington St, Suite 341, Newton, MA 02462-1650 | 2015-04-13 |
| 1346647815 | Berenice Vallette | Physician Assistant | 2000 Washington St, White Building Suite 341, Newton, MA 02462-1650 | 2014-11-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151892 | Samuel Warren | Student in an Organized Health Care Education/Training Program | 2000 Washington St, Blue Building Suite 201, Newton, MA 02462 | 2019-09-04 |
| 1629486477 | Johanna Forman Lam | Nurse Practitioner | 2000 Washington St Ste 544, Newton, MA 02462 | 2014-07-24 |
| 1083909774 | Kristen A. Lindgren | Psychiatry & Neurology | Nwh Pediatric Ambulatory Care Center, 2014 Washington St, 6 South, Newton, MA 02462 | 2011-06-10 |
| 1346430436 | David Peselman | Pathology | Harvard Rehabilitation Clinic, Brockton, MA 02462 | 2007-07-26 |
| 1487776001 | Aaron Gardiner | Orthopaedic Surgery | 2000 Washington St #341, Newton Wellesley Orthopedic Associates, Inc., Newton, MA 02462 | 2007-04-04 |
| 1023194263 | Mark S Golden | Social Worker | 671 Grove St, Newton, MA 02462 | 2006-10-31 |
| 1477669331 | Elizabeth A Konig | Obstetrics & Gynecology | Newton Wellesley Ob/gyn, 2000 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1558477315 | Barry J Tils | Emergency Medicine | Newton Wellesly Hospital, 2014 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1134130040 | Aryeh Shestopal | Psychologist | 39 Clearwater Roard, Newton, MA 02462 | 2006-08-10 |
| 1861403347 | Nancy B Hurwitz | Physician Assistant | Newton Wellesley Hospital, 2014 Washington St, Newton, MA 02462 | 2006-08-10 |
| Find all providers in zip 02462 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093210718 | Yechiel Nisan Gellman | Orthopaedic Surgery | New England Baptist Hospital, 125 Parker Hill Avenue, Boston, MA 02120-2847 | 2018-03-26 |
| 1447679428 | Mostafa Abousayed | Orthopaedic Surgery | 15 Roche Brothers Way Ste 200, North Easton, MA 02356-1000 | 2014-04-07 |
| 1639171101 | George H Theodore | Orthopaedic Surgery | 175 Cambridge St, 4th Floor, Boston, MA 02114-2743 | 2005-08-12 |
| 1265434229 | Thom A. Tarquinio | Orthopaedic Surgery | 123 Summer St, Suite 320, Worcester, MA 01608-1216 | 2005-06-02 |
| 1235399924 | Craig Richard Lareau | Orthopaedic Surgery | 300 Birnie Ave, Ste 201, Springfield, MA 01107-1107 | 2008-06-16 |
| 1790824282 | Morton D Lynn | Orthopaedic Surgery | 300 Birnie Ave, Ste 201, Springfield, MA 01107-1107 | 2007-02-05 |
| 1386672343 | Kenneth M Leavitt | Orthopaedic Surgery | 125 Parker Hill Ave, Ste 390, Boston, MA 02120-2847 | 2006-06-29 |
| 1871530980 | Mark Paul Slovenkai | Orthopaedic Surgery | 840 Winter Street, Waltham, MA 02451-1433 | 2006-05-31 |
| 1639139868 | Thomas Aloysius Mcdonald | Orthopaedic Surgery | 300 Birnie Ave, Suite 201, Springfield, MA 01107-1107 | 2006-03-23 |
| 1689649006 | Eric Michael Bluman | Orthopaedic Surgery | 1153 Centre Street, Suite 56, Jamaica Plain, MA 02130 | 2006-02-20 |
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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.