MICHAEL ROSS DISIENA (NPI# 1770572273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770572273 |
| Entity Type | Individual |
| Full Name | MICHAEL ROSS DISIENA |
| Credential | D.O. |
| Practice Address |
777 North St Suite 407 Pittsfield MA 01201-4147 |
| Mailing Address |
777 North St Po Box 1677 Pittsfield MA 01202-1677 |
| Practice Telephone | 4134456420 |
| Practice Fax Number | 4134994907 |
| Mailing Telephone | 4134456420 |
| Mailing Fax Number | 4134994907 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2007-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
155050 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2107775 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932593837 | Michael Steven Disiena | Student in an Organized Health Care Education/Training Program | 131 Coventry St, 2nd Floor, Hartford, CT 06112-1548 | 2015-03-27 |
| Street Address |
777 NORTH ST SUITE 407 |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313197 | Kyle A. Cooper | Internal Medicine | 777 North St, Cardiology, Pittsfield, MA 01201-4147 | 2005-06-01 |
| 1720606387 | Autumn Marie Wood | Counselor | 777 North St, Pittsfield, MA 01201-4147 | 2020-07-10 |
| 1538716147 | Robert James Shearer | General Acute Care Hospital | 777 North St, Pittsfield, MA 01201-4147 | 2019-08-20 |
| 1659840825 | Bridget Marie Brockway | Nurse Practitioner | 777 North St, Pittsfield, MA 01201-4147 | 2018-11-17 |
| 1174099386 | Shannon Patricia O'driscoll | Physician Assistant | 777 North St, Pittsfield, MA 01201-4147 | 2018-10-16 |
| 1780178434 | Sharon Parmenter | Nurse Practitioner | 777 North St, Pittsfield, MA 01201-4147 | 2018-06-17 |
| 1023535259 | Lauren Fleury | Nurse Practitioner | 777 North St, Pittsfield, MA 01201 | 2017-08-28 |
| 1831636224 | Shannon Marie Mclaughlin | Nurse Practitioner | 777 North St, Berkshire Ob/gyn Suite, Pittsfield, MA 01201-4147 | 2017-01-24 |
| 1841654399 | Kelly Kennedy | Dietitian, Registered | 777 North St, Pittsfield, MA 01201-4147 | 2016-04-11 |
| 1194128439 | Berkshire Faculty Services | Clinic/Center | 777 North St, Pittsfield, MA 01201-4147 | 2014-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265990261 | Eduardo Alberto Vega Pizarro | Surgery | 127 Bay State Rd Apt 4, Boston, MA 02215-1711 | 2019-03-08 |
| 1861834608 | Jesse T Casaubon | Surgery | 100 Wason Ave Ste 340, Springfield, MA 01107-1179 | 2013-07-22 |
| 1487910709 | Monica Gabriela Valero Camacho | Surgery | 330 Brookline Ave Rm 507b, Boston, MA 02215-5491 | 2012-04-11 |
| 1053509539 | Diana Laura Caragacianu | Surgery | 14 Prospect St Fl 4, Milford, MA 01757-3003 | 2007-10-09 |
| 1265540975 | Michael D Wertheimer | Surgery | Umass Memorial Health Care, 119 Belmont Street, Worcester, MA 01605 | 2006-08-25 |
| 1316053192 | Cristina R Ferrone | Surgery | 24 Hancock St, Apt. 5, Boston, MA 02114-4161 | 2006-08-22 |
| 1467410845 | John T Mullen | Surgery | Beth Israel Deaconess, 330 Brookline Ave St 912, Boston, MA 02215 | 2006-05-03 |
| 1619947793 | Katherina Zabicki Calvillo | Surgery | 44 Binney St., Mayer 1b34, Bwh/dfci Breast Oncology Center, Boston, MA 02115 | 2006-01-23 |
| 1861493132 | Elizabeth W. Brady | Surgery | 100 Wason Avenue, Springfield, MA 01107-1179 | 2005-08-09 |
| 1154764421 | Meghan Elizabeth Garstka | Surgery | 55 Fruit St, Boston, MA 02114-2621 | 2013-04-16 |
| Find all providers with the same taxonomy | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
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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.