HOLLY L GOODALE (NPI# 1750340410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750340410 |
| Entity Type | Individual |
| Full Name | HOLLY L GOODALE |
| Credential | MD |
| Practice Address |
1353 Dorchester Ave Dorchester MA 02122-2932 |
| Practice Telephone | 6177402277 |
| Mailing Telephone | 6177402277 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2014-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 77726 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3143023 | 05 |
| Street Address |
1353 DORCHESTER AVE |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02122-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891728 | Christopher White | Physical Therapist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-11-05 |
| 1790393767 | Daniel Rabinowicz | Physical Therapist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-07-16 |
| 1902432826 | Dorreen Danesh | Internal Medicine | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-03-23 |
| 1174179857 | Yue Yu | Optometrist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2019-08-17 |
| 1316410376 | Rachel Wasserman | Nurse Practitioner | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2019-01-02 |
| 1114402807 | Dorchester House Multi Service Center | Clinic/Center | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-09-27 |
| 1861988503 | Sirena Huang | Optometrist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-07-05 |
| 1336634526 | Stephen Cronk | Dentist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-06-29 |
| 1356842934 | Kyle Andrew Bertram | Pharmacist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-02-28 |
| 1417467515 | Jeffrey Young | Dentist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2017-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
| 1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
| 1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
| 1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
| Find all providers in zip 02122 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629091293 | Kimberly A Maclauchlan | Specialist | 1443 Dorchester Ave, Dorchester, MA 02122-2922 | 2006-07-25 |
| 1144759457 | Joanna Mcgroarty | Specialist | 105 Victory Rd, Dorchester, MA 02122-3518 | 2017-06-08 |
| 1548575871 | Molly Kathleen Ricks | Specialist | 105 Victory Rd, Dorchester, MA 02122-3746 | 2010-08-11 |
| 1023252251 | Julia Takahashi Mcmanus | Specialist | 398 Neponset Ave, Dorchester, MA 02122 | 2009-05-01 |
| 1750529624 | Jova Gamboa | Specialist | 105 Victory Rd, Dorchester, MA 02122-3518 | 2009-01-29 |
| 1164649158 | Bay Colony Neurosurgery | Specialist | 2100 Dorchester Ave, Dorchester, MA 02124 | 2007-04-19 |
| 1962462499 | Kathryn Jane Harris | Specialist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-03-27 |
| 1598725541 | Julita Mir | Specialist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-03-24 |
| 1265492243 | Peter Loewinthan | Specialist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-03-24 |
| 1437118783 | Aisling Bastible | Specialist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-03-23 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02122 |
Please comment or provide details below to improve the information on HOLLY L GOODALE.
| 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.