DR. MARYKUTTY D THOMAS (NPI# 1790704468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790704468 |
| Entity Type | Individual |
| Full Name | DR. MARYKUTTY D THOMAS |
| Credential | M.D |
| Practice Address |
1400 Vfw Parkway Sci, Building 2, 2nd Floor West Roxbury MA 02132-4927 |
| Practice Telephone | 8572035128 |
| Practice Fax Number | 8572035553 |
| Mailing Telephone | 8572035128 |
| Mailing Fax Number | 8572035553 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 21111 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552156 | Marykutty J Thomas | Family Medicine | 9241 Bluebonnet Blvd, Suite B, Baton Rouge, LA 70810-2808 | 2005-07-15 |
| Street Address |
1400 VFW PARKWAY SCI, BUILDING 2, 2ND FLOOR |
| City | WEST ROXBURY |
| State | MA |
| Zip Code | 02132-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811900 | David Marc Blaustein | Neuromusculoskeletal Medicine, Sports Medicine | 1400 Vfw Parkway, Va Boston Healthcare System, West Roxbury, MA 02132 | 2005-09-18 |
| 1659895126 | Elana Katz | Speech-Language Pathologist | 1400 Vfw Parkway, Speech Pathology, West Roxbury, MA 02132 | 2017-07-27 |
| 1750720892 | Sarah Drosdik Pelletier | Nurse Practitioner | 1400 Vfw Parkway, West Roxbury, MA 02132 | 2013-06-21 |
| 1356686091 | Sarah Kelley White | Nurse Practitioner | 1400 Vfw Parkway, Va Boston Healthcare System, West Roxbury, MA 02132 | 2012-12-06 |
| 1932494317 | Noah M Whiddon | Social Worker | 1400 Vfw Parkway, West Roxbury, MA 02132 | 2011-06-14 |
| 1578856241 | Gordon M. Burke | Internal Medicine | 1400 Vfw Parkway, Cardiology Section 111ca, West Roxbury, MA 02132 | 2011-05-27 |
| 1982915955 | Kathleen Killilea | Anesthesiology | 1400 Vfw Parkway, Va Boston Healthcare, West Roxbury, MA 02132 | 2010-06-24 |
| 1558525253 | Ervin Andrei Jakab | Anesthesiology | 1400 Vfw Parkway, Department of Anesthesiology, West Roxbury, MA 02132 | 2008-07-11 |
| 1356513410 | Elizabeth Sandman Norian | Internal Medicine | 1400 Vfw Parkway, West Roxbury, MA 02132 | 2008-03-28 |
| 1306930995 | Peter Berry | Pharmacist | 1400 Vfw Parkway, West Roxbury, MA 02132 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992299663 | Ashley Monteiro | Counselor | 15 Elgin St, West Roxbury, MA 02132 | 2018-06-18 |
| 1033639943 | Nahed Lakkis | Dentist | 80 New Haven St, West Roxbury, MA 02132 | 2017-06-21 |
| 1053780692 | Yanpeng Ding | Optometrist | 2034a Centre St, West Roxbury, MA 02132 | 2015-09-24 |
| 1013303437 | Alaa Alrababa I | Dentist | 125 Edgemere Road, 202, West Roxbury, MA 02132 | 2015-04-13 |
| 1023426483 | Kearstin F. Thomas D.m.d.,pc | Dentist | 2075 Centre Street, West Roxbury, MA 02132 | 2014-07-30 |
| 1003226630 | Beyond Independent Living LLC | Case Management | 1208b Vfw Parkway, Suite 301, Boston, MA 02132 | 2014-05-05 |
| 1780920223 | Kysa Christie | Psychologist | 1400 Vfw Parkway (sci 128), West Roxbury, MA 02132 | 2013-01-02 |
| 1629324652 | Mohamed Al-janabi | Dentist | 250 Spring St, Apt 18, West Roxbury, MA 02132 | 2012-07-27 |
| 1265704787 | Ronda Denise Jones | Case Manager/Care Coordinator | 2077 Centre Street, West Roxbury, MA 02132 | 2012-01-30 |
| 1306123419 | Hung Doan | Pharmacist | 1065 Truman Highway, Hyde Park, MA 02132 | 2011-11-03 |
| Find all providers in zip 02132 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699316539 | Luisa Alejandra Centeno Silva | Family Medicine | 4785 Washington St # 2, West Roxbury, MA 02132-2113 | 2019-10-02 |
| 1154884120 | Marlene Putnam | Family Medicine | 50 Montclair Ave, West Roxbury, MA 02132-7818 | 2019-04-08 |
| 1942464524 | Sucheta Jayantilal Doshi | Family Medicine | 1400 Vfw Pkwy, Va Boston Healthcare System, West Roxbury, MA 02132-4927 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966806 | Eliana Decastro Cuellar | Family Medicine | 1030 President Ave Ste 1001, Fall River, MA 02720-5923 | 2020-09-12 |
| 1386260594 | Form Health Associates (ma), P.C. | Family Medicine | 179 Lincoln St Ste 404, Boston, MA 02111-2425 | 2020-06-23 |
| 1043835044 | Form Health Associates, P.C. | Family Medicine | 179 Lincoln St Fl 4, Boston, MA 02111-2424 | 2020-06-15 |
| 1588290324 | Lighthouse Primary Care PC | Family Medicine | 315 Main St Ste 101, North Reading, MA 01864-1326 | 2020-03-12 |
| 1730714106 | Berkshire Whole Health PC | Family Medicine | 8 Pine St, Stockbridge, MA 01262-9706 | 2020-03-06 |
| 1578100889 | Kelly Ramappa | Family Medicine | 96 Temple St, West Newton, MA 02465-2307 | 2019-12-05 |
| 1295372787 | Julie A Gil | Family Medicine | 114b Lelandville Rd, Charlton, MA 01507-6714 | 2019-12-04 |
| 1154962942 | Molly Rose Lodigiani | Family Medicine | 275 Cypress St Apt 105, Brookline, MA 02445-6774 | 2019-10-02 |
| 1609427962 | Jessica Blanchard | Family Medicine | 100 Leominster Rd, Sterling, MA 01564-2156 | 2019-09-26 |
| 1831742667 | Mallory Marie Morton | Family Medicine | 429 Main St # 3, Medford, MA 02155-6571 | 2019-07-21 |
| Find all providers with the same taxonomy | ||||
| City | WEST ROXBURY |
| Zip Code | 02132 |
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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.