MARI KRISEL LANTIN SALAZAR (NPI# 1770944779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770944779 |
| Entity Type | Individual |
| Full Name | MARI KRISEL LANTIN SALAZAR |
| Credential | PA-C |
| Practice Address |
199 Reedsdale Rd Milton MA 02186-3926 |
| Mailing Address |
625 Thomas Burgin Pkwy Apartment 339 Quincy MA 02169-7648 |
| Practice Telephone | 6176964600 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2017-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
199 REEDSDALE RD |
| City | MILTON |
| State | MA |
| Zip Code | 02186-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881669166 | Hope G. Mangili | Nurse Anesthetist, Certified Registered | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2006-02-21 |
| 1336781301 | Associated Physicians of Harvard Medical Faculty Physicians At Beth Is | Pathology | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2019-10-11 |
| 1477056158 | Barbara A Clancy | Orthotist | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2018-03-09 |
| 1700300621 | David Gomes | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2017-08-02 |
| 1245773308 | Associated Physicians of Harvard Medical Faculty Physicians At Beth Is | Radiology | 199 Reedsdale Rd, Milton, MA 02186 | 2016-11-22 |
| 1508315821 | Alexander Rosales Ingente | General Acute Care Hospital | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2016-09-27 |
| 1629439880 | Daniel Holder | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2016-03-16 |
| 1134589435 | Andrea Paola Choueiri | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2016-02-29 |
| 1023480324 | Christopher Raymond Gibson | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2015-10-26 |
| 1972989879 | Kelly Sernyee Young | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2015-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072296 | Diane M Ferrari | Social Worker | Milton Residents Fund, 535 Canton Ave., Milton, MA 02186 | 2018-11-15 |
| 1013407626 | Cornelius F. Kiley | Psychologist | 414 Adams Street, Milton, MA 02186 | 2018-05-18 |
| 1962929323 | Blake O'donnell | Social Worker | 597 Randolph Ave, Milton, MA 02186 | 2017-08-27 |
| 1144679564 | Milton Hc Operating LLC | Skilled Nursing Facility | 1200 Brush Hill Road, Milton, MA 02186 | 2016-06-07 |
| 1407096928 | Deborah Lavennia Milton | Counselor | 394 Truman Highway, Milton, MA 02186 | 2009-02-24 |
| 1497940548 | Susan Taylor | Psychologist | 1164 Truman Hwy, Milton, MA 02186 | 2007-09-12 |
| 1023137296 | Dolores Ann Shea | Counselor | 51 Bartons Lane, Milton, MA 02186 | 2007-03-28 |
| 1215052360 | Ilene Cloutier | Occupational Therapy Assistant | 1200 Brushhill Rd, Milton, MA 02186 | 2007-03-20 |
| 1730216151 | David Joseph Purcell | Emergency Medicine | 92 Higland St, Milton Hospital, Milton, MA 02186 | 2007-02-27 |
| 1619035250 | Gregg Raymond Melfi | Dentist | 480 Adams Street, Suite 104, Milton, MA 02186 | 2006-12-05 |
| Find all providers in zip 02186 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568976769 | Megan Marie Merritt | Physician Assistant | 199 Reedsdale Road, Department of General Surgery, Milton, MA 02186 | 2017-11-27 |
| 1700300621 | David Gomes | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2017-08-02 |
| 1629439880 | Daniel Holder | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2016-03-16 |
| 1134589435 | Andrea Paola Choueiri | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2016-02-29 |
| 1023480324 | Christopher Raymond Gibson | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2015-10-26 |
| 1912329186 | Alexandria Diraimo | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2014-01-07 |
| 1346598422 | Daniel James Thornton I | Physician Assistant | 100 Highland St, Milton, MA 02186-3881 | 2012-08-21 |
| 1811988843 | Diane Perino | Physician Assistant | 100 Highland St, Suite 123, Milton, MA 02186-3881 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627106 | Taia Maria Tieland | Physician Assistant | 9 Hunting St Apt 1, Cambridge, MA 02141-1010 | 2020-07-24 |
| 1003434275 | Antonious Jonah Abraham | Physician Assistant | 99 Corn Rd, Bolton, MA 01740-1055 | 2020-07-13 |
| 1407479272 | Mackenzie Malcolm Gray | Physician Assistant | 35 Pynchon Rd, Holyoke, MA 01040-1514 | 2020-05-27 |
| 1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
| 1992369524 | Jaclyn Hynes | Physician Assistant | 234 Otis St, Hingham, MA 02043-4504 | 2019-04-29 |
| 1376002931 | Jack City, LLC | Physician Assistant | 290 Pleasant St Apt 212, Watertown, MA 02472-2429 | 2019-03-13 |
| 1578021911 | Ashley Piemonte | Physician Assistant | 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 | 2019-03-05 |
| 1407323686 | Nicole Burke Tingley | Physician Assistant | 123 Summer St Ste 277, Worcester, MA 01608-1216 | 2018-10-25 |
| 1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
| 1881160943 | Philip Apraku Bondzie | Physician Assistant | 266 Sportsmans Trl, Whitman, MA 02382-1726 | 2018-10-16 |
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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.