DR. CHARLES THOMAS KENDRICK (NPI# 1811977747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811977747 |
| Entity Type | Individual |
| Full Name | DR. CHARLES THOMAS KENDRICK |
| Credential | M.D., D.M.D. |
| Practice Address |
30 Warren St Brighton MA 02135-3602 |
| Mailing Address |
80 Hannah Niles Way Braintree MA 02184-7260 |
| Practice Telephone | 6172543800 |
| Practice Fax Number | 6177791509 |
| Mailing Telephone | 7813562120 |
| Mailing Fax Number | 7813562120 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2007-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 82014 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396780524 | Charles Roger Kendrick | Family Medicine | 93 York St, Kennebunk, ME 04043-7103 | 2006-06-19 |
| 1740230507 | Charles Phillip Kendrick | Nurse Anesthetist, Certified Registered | 619 19th Street South, Birmingham, AL 35233 | 2006-05-11 |
| Street Address |
30 WARREN ST |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418085 | Wendy Ruth Cheney | Dentist | 30 Warren St, Brighton, MA 02135-3602 | 2005-06-23 |
| 1316545262 | Kimberly Paquette | Social Worker | 30 Warren St, Brighton, MA 02135-3602 | 2020-10-13 |
| 1154936318 | Annabelle M Collins | Student in an Organized Health Care Education/Training Program | 30 Warren St, Brighton, MA 02135-3602 | 2020-09-14 |
| 1881209047 | Natalie Gallo | Student in an Organized Health Care Education/Training Program | 30 Warren St, Brighton, MA 02135-3602 | 2020-09-14 |
| 1821603093 | Virginia Mahoney | Student in an Organized Health Care Education/Training Program | 30 Warren St, Brighton, MA 02135-3602 | 2020-09-14 |
| 1982217535 | Erin Straughn | Dietitian, Registered | 30 Warren St, Brighton, MA 02135-3602 | 2020-08-24 |
| 1992317101 | Jane Carper | Social Worker | 30 Warren St, Brighton, MA 02135-3602 | 2020-08-19 |
| 1235740473 | Ashley King | Social Worker | 30 Warren St, Brighton, MA 02135-3602 | 2020-08-12 |
| 1902417181 | Angelica Francesca Emery-fertitta | Social Worker | 30 Warren St, Brighton, MA 02135-3680 | 2020-08-12 |
| 1740891969 | Margaret Cecelia Vineis | Social Worker | 30 Warren St, Brighton, MA 02135-3602 | 2020-08-11 |
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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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299303 | Xenon Anesthesia of Colorado LLC | Anesthesiology | 36 S 18th Ave Ste D, Brighton, CO 80601-2452 | 2017-11-20 |
| 1619498524 | Jamie Aaron Belo | Anesthesiology | 736 Cambridge St St. Elizabeth's Medical Center, Brighton, MA 02135 | 2017-06-30 |
| 1053846600 | Kumar Reddy Seelam Ritesh | Anesthesiology | 736 Cambridge St Unit B1, Brighton, MA 02135-2907 | 2017-04-20 |
| 1144684713 | Summaiya Iqbal | Anesthesiology | St Elizabeth's Medical Center, 736 Cambridge St, Brighton, MA 02135-0001 | 2016-04-11 |
| 1215315809 | Demitrio James Camarena | Anesthesiology | 736 Cambridge Street, #213, St. Elizabeth's Medical Center, Anesthesiology, Brighton, MA 02135 | 2015-05-14 |
| 1194130443 | Puneeta Wagholikar | Anesthesiology | 736, Cambridge Street, St. Elizabeth Medical Center, Brighton, MA 02135 | 2014-06-25 |
| 1205009982 | Geoffrey Mark Rechenberg | Anesthesiology | 1455 Commonwealth Ave, Apt. 519, Brighton, MA 02135-3616 | 2008-04-02 |
| 1457563579 | Jonathan William Force | Anesthesiology | 697 Hayloft Way, Brighton, CO 80601-4265 | 2007-05-03 |
| 1609945765 | Refeng Yao | Anesthesiology | Caritas St. Elizabeth 's Hospital, 736 Cambridge Street, Brighton, MA 01235 | 2006-11-06 |
| 1710969092 | Platte River Anesthesia | Anesthesiology | 1850 E Egbert St, Brighton, CO 80601-2404 | 2005-11-14 |
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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.