HARVARD VANGUARD MEDICAL ASSOCIATES (NPI# 1770645806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770645806 |
| Entity Type | Organization |
| Organization Name | HARVARD VANGUARD MEDICAL ASSOCIATES |
| Practice Address |
133 Brookline Ave Boston MA 02215-3904 |
| Mailing Address |
275 Grove St Suite 3-300 Auburndale MA 02466-2272 |
| Practice Telephone | 6174211122 |
| Practice Fax Number | 6174211128 |
| Mailing Telephone | 6175598051 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEBRA GEIHSLER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6175598012 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285880369 | Harvard Vanguard Medical Associates | Clinic/Center | 230 Worcester St, Wellesley Hvma, Wellesley, MA 02481-5420 | 2008-08-08 |
| 1699937524 | Harvard Vanguard Medical Associates | Radiology | 51 Performance Dr, Radiation Oncology, Weymouth, MA 02189-3104 | 2008-07-01 |
| 1437326196 | Harvard Vanguard Medical Associates | Clinic/Center | 228 Billerica Rd, Chelmsford, MA 01824-3604 | 2008-05-13 |
| 1649449778 | Harvard Vanguard Medical Associates | Counselor | 20 Wall St, Behavioral Health Dept, Burlington, MA 01803-4758 | 2008-02-22 |
| 1891907366 | Harvard Vanguard Medical Associates | Psychiatry & Neurology | 1153 Centre St, Boston, MA 02130 | 2007-05-04 |
| 1003939703 | Harvard Vanguard Medical Associates | Social Worker | 133 Brookline Ave, Boston, MA 02215-3904 | 2007-04-09 |
| 1730208554 | Harvard Vanguard Medical Associates | Counselor | 40 Holland St, Somerville, MA 02144-2705 | 2007-03-29 |
| 1649399460 | Harvard Vanguard Medical Associates | Counselor | 230 Worcester St, Wellesley, MA 02481-5420 | 2007-03-29 |
| 1912064114 | Harvard Vanguard Medical Associates | Clinic/Center | 20 Wall St, Burlington, MA 01803-4758 | 2007-01-03 |
| 1124180252 | Harvard Vanguard Medical Associates | Dentist | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2006-12-14 |
| Street Address |
133 BROOKLINE AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720084833 | Claire Tine Cronin | Surgery | 133 Brookline Ave, Boston, MA 02215-3904 | 2005-06-23 |
| 1750992921 | Jessica Yang | Clinical Nurse Specialist | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-08-12 |
| 1386266104 | Mhg Physician Services - California | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-05-14 |
| 1164051520 | Mhg Physician Services - Oregon LLC | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-04-07 |
| 1629604889 | Jessica Lareau | Counselor | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-03-19 |
| 1922651199 | Rachel Lang Caso | Social Worker | 133 Brookline Ave, Boston, MA 02215-3904 | 2019-07-17 |
| 1134698244 | Ewan D Mcnicol | Pharmacist | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-11-19 |
| 1518433531 | Mhg Physician Services - Massachusetts Pllc | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-10-17 |
| 1477038867 | Chantal C. Coughlin | Nurse Practitioner | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-10-01 |
| 1376027227 | Mhg Clinical Services LLC | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353619 | Shikha Nanda | Dentist | 45 E Newton St Apt 107, Boston, MA 02118-4803 | 2020-10-09 |
| 1972100964 | Dafjola Bejleraj | Dentist | 10 High St Ste 333, Boston, MA 02110-1672 | 2020-10-03 |
| 1851998827 | Rami Salloum | Dentist | 60 Mount Pleasant Ave, Boston, MA 02119-3348 | 2020-10-02 |
| 1649885492 | Vanessa Lynn Mancuso Cortinas | Dentist | 490 Harrison Ave Apt 202, Boston, MA 02118-2573 | 2020-09-09 |
| 1407468465 | Treon Dental Partner | Dentist | 22 Traveler St, Boston, MA 02118-2645 | 2020-08-20 |
| 1134747603 | Ahmed Bashir Raddad | Dentist | 100 E Newton St # 707a, Boston, MA 02118-3552 | 2020-07-10 |
| 1770108656 | Nedg Boston | Dentist | 1 Milk St, Boston, MA 02109-5413 | 2020-06-16 |
| 1730702309 | Alla Anastos | Dentist | 4 Charlesgate E Apt 502, Boston, MA 02215-2324 | 2020-05-18 |
| 1942841788 | Mina Ihsan | Dentist | 701 Massachusetts Ave Apt 5, Boston, MA 02118-4053 | 2019-10-02 |
| 1831740166 | Saad Joulakh | Dentist | 42 Worcester Sq Apt 11, Boston, MA 02118-2920 | 2019-09-27 |
| Find all providers in BOSTON | ||||
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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.