DR. STEVEN R KANNER (NPI# 1740270289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740270289 |
| Entity Type | Individual |
| Full Name | DR. STEVEN R KANNER |
| Credential | MD |
| Practice Address |
210 Bear Hill Rd Suite 304 Waltham MA 02451-1025 |
| Mailing Address |
12 Bypass Rd Lincoln Lincoln MA 01773-1202 |
| Practice Telephone | 7816840600 |
| Practice Fax Number | 7816840601 |
| Mailing Telephone | 7812593370 |
| Mailing Fax Number | 7812594050 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2009-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 36451 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2066513 | 05 | |
| MA | BCBS MA | B49032 | 01 |
| MA | TUFTS HEALTH PLAN | 706384 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679539613 | Steven P Kanner | Specialist | 5430 Nw 33rd Ave, Suite 106, Fort Lauderdale, FL 33309-6349 | 2006-04-26 |
| 1326015678 | Steven Robert Kanner | Internal Medicine | 5823 W Eugie Ave, Ste A, Glendale, AZ 85304-1276 | 2006-03-07 |
| 1053306969 | Steven Lee Kanner | Internal Medicine | 840 Us Highway 1, Ste 400, North Palm Beach, FL 33408-3830 | 2005-09-16 |
| Street Address |
210 BEAR HILL RD SUITE 304 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942798533 | Martine Rossell | Counselor | 210 Bear Hill Rd, Suite 202, Waltham, MA 02451-1027 | 2018-04-29 |
| 1922451434 | Kristen Shannon | Counselor | 210 Bear Hill Rd, Suite 203, Waltham, MA 02451-1025 | 2016-07-20 |
| 1427453000 | Waltham Behavioral Health LLC | Counselor | 210 Bear Hill Rd, Suite 202, Waltham, MA 02451-1025 | 2014-10-25 |
| 1922441096 | Nicole Krysta Mayo | Occupational Therapist | 210 Bear Hill Rd, Waltham, MA 02451-1025 | 2013-04-09 |
| 1639454978 | Joe Gonzalez | Pharmacist | 210 Bear Hill Rd, Suite 400, Waltham, MA 02451-1025 | 2011-10-19 |
| 1902189996 | Michael Godek | Pharmacist | 210 Bear Hill Rd, Suite 401, Waltham, MA 02451-1025 | 2011-09-26 |
| 1649552274 | Gregory Youssef | Pharmacist | 210 Bear Hill Rd, Suite 400, Waltham, MA 02451-1025 | 2011-09-09 |
| 1679603757 | Steven R. Kanner, Md, LLC | Internal Medicine | 210 Bear Hill Rd, Suite 304, Waltham, MA 02451-1025 | 2007-03-06 |
| 1669439337 | Louisa Eileen Martin | Nurse Practitioner | 210 Bear Hill Rd, Suite 202, Waltham, MA 02451-1023 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| 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 |
|---|---|---|---|---|
| 1578083119 | Srk Md, LLC | Internal Medicine | 210 Bear Hill Rd Ste 304, Waltham, MA 02451-1025 | 2017-06-25 |
| 1790929123 | Bard J Geesaman | Internal Medicine | 55 Black Bear Dr, Apartment # 1423, Waltham, MA 02451-0248 | 2009-04-29 |
| 1316112949 | Joanna Ellen Schwartz | Internal Medicine | 52 Second Avenue Suite 2000, Primary Care Associates, Waltham, MA 02451 | 2008-04-24 |
| 1992827067 | Elenie C Bartzokis | Internal Medicine | 1000 Winter St, Waltham, MA 02451-1436 | 2007-04-06 |
| 1205962891 | William S Kaden | Internal Medicine | Mass Pro, 235 Wyman Street, Waltham, MA 02451 | 2007-02-26 |
| 1912041963 | Nathaniel Gunn | Internal Medicine | 201 Jones Rd, 4th Floor, Waltham, MA 02451-1600 | 2007-02-16 |
| 1942344635 | David M Margulies | Internal Medicine | 307 Waverley Oaks Rd, Suite 101, Waltham, MA 02452-8413 | 2007-02-16 |
| 1790822062 | Linda H Pololi | Internal Medicine | Brandeis University-ms.088, Waltham, MA 02454 | 2007-01-30 |
| 1396850442 | Maria A Ponsillo | Internal Medicine | 200 West St, Waltham, MA 02451-1121 | 2006-08-20 |
| 1609883255 | Denise S Basow | Internal Medicine | 95 Sawyer Rd, Waltham, MA 02453-3471 | 2006-08-02 |
| Find all providers in WALTHAM | ||||
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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.