DR. ANDREW B CROCKER (NPI# 1811513815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811513815 |
| Entity Type | Individual |
| Full Name | DR. ANDREW B CROCKER |
| Credential | MD |
| Practice Address |
736 Cambridge St Brighton MA 02135-2907 |
| Practice Telephone | 6177892990 |
| Mailing Telephone | 6177892990 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 584848 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770800328 | Andrew David Crocker | Internal Medicine | 712 Fleming St, Hendersonville, NC 28791 | 2010-04-22 |
| Street Address |
736 CAMBRIDGE ST |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649692 | Jennifer Stand | Nurse Practitioner | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-08-11 |
| 1548870231 | Hyung Min Lee | Anesthesiology | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-08-06 |
| 1609484633 | Aju Jose | Internal Medicine | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-07-15 |
| 1679181622 | Abhay Tyagi | Anesthesiology | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-07-15 |
| 1154948339 | Alexandra Corrigan | Student in an Organized Health Care Education/Training Program | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-07-03 |
| 1063039279 | Michael H Froehlich | Surgery | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-07-03 |
| 1477170694 | Hazim Allos | Internal Medicine | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-07-03 |
| 1003433442 | Monika Batra | Psychiatry & Neurology | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-07-01 |
| 1508483959 | Cory Greguske | Anesthesiology | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-07-01 |
| 1740807262 | Belinda Bejtja | Anesthesiology | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013390731 | Zahra Alhajji | Surgery | 736 Cambirdge St, Brighton, MA 02135 | 2015-06-30 |
| 1760896179 | Chandni Ravi | Surgery | 1669 Commonwealth Ave, Apartment #1, Brighton, MA 02135-4948 | 2014-06-13 |
| 1831539071 | Amanda Kupstas | Surgery | 2305 Genoa Business Park Dr Ste 210, Brighton, MI 48114-7005 | 2013-07-02 |
| 1407295397 | Rachel Lauren Goldstein | Surgery | 15 Beechcroft St, Apt 1, Brighton, MA 02135-2571 | 2013-06-24 |
| 1790941391 | Justin Lee | Surgery | 24a Winship St, Brighton, MA 02135-3312 | 2008-08-03 |
| 1790941805 | Fariba Dayhim | Surgery | 10415 Grand River Rd Ste 100, Brighton, MI 48116-6533 | 2008-07-29 |
| 1184821266 | Matthew T Lemaitre | Surgery | 11 Nevins St Ste 407d, Brighton, MA 02135 | 2007-07-02 |
| 1841419868 | Leon Calvin Baber | Surgery | 122 Pioneer Way, Brighton, CO 80603-5724 | 2007-04-25 |
| 1366578098 | Claudius Conrad | Surgery | 11 Nevins St Ste 201, Brighton, MA 02135-3514 | 2007-02-26 |
| 1780620039 | Mark A. Jonker | Surgery | 2305 Genoa Business Park Dr Ste 120, Brighton, MI 48114 | 2006-06-22 |
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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.