MAXIMILLIAN C SOONG (NPI# 1821124579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821124579 |
| Entity Type | Individual |
| Full Name | MAXIMILLIAN C SOONG |
| Credential | MD |
| Practice Address |
Lahey Clinic 41 Mall Rd. Burlington MA 01805-0001 |
| Practice Telephone | 7817448638 |
| Practice Fax Number | 7817444706 |
| Mailing Telephone | 7817448638 |
| Mailing Fax Number | 7817444706 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2019-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 235610 | MA | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
235610 | MA | Allopathic & Osteopathic Physicians |
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
235610 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110080017A | 05 |
| Street Address |
LAHEY CLINIC 41 MALL RD. |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01805-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568455350 | Julie L Jones | Nurse Practitioner | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2005-08-26 |
| 1801168042 | Michelle E. Howlett | Physician Assistant | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2012-02-03 |
| 1760767842 | Emily K. Newcomb | Physician Assistant | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2011-10-20 |
| 1053693549 | Christine Ackroyd | Nurse Practitioner | Lahey Clinic, 41 Mall Rd., Burlington, MA 01805-0001 | 2011-09-12 |
| 1609160514 | Diana H Cabral | Nurse Practitioner | Lahey Clinic, 41 Mall Rd., Burlington, MA 01805-0001 | 2011-06-08 |
| 1942504279 | Ashley Rae Drapeau | Physician Assistant | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2010-12-30 |
| 1710289566 | Pamela S. Sherry | Pharmacist | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2010-11-30 |
| 1932418555 | Bettina Norma Johnson | Nurse Practitioner | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2010-09-30 |
| 1164671509 | Kara Del Torchio | Nurse Practitioner | Lahey Clinic, 41 Mall Rd, Burlington, MA 01805-0001 | 2008-09-10 |
| 1013163534 | David A Rosman | Radiology | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2008-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
| 1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
| 1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
| 1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
| Find all providers in zip 01805 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659517332 | Donald Mckay | Surgery | 50 Summit Rd., Belmont, MA 02478-1058 | 2008-12-30 |
| 1144305954 | N.r. Chandrasekar, M.d., P.C. | Surgery | 300 Mount Auburn Street, Suite 510, Cambridge, MA 02238 | 2006-10-27 |
| 1295837615 | Tamara D Rozental | Surgery | 330 Brookline Avenue/orthopaedics, Stoneman-10, Boston, MA 02215 | 2006-09-05 |
| 1083653737 | Dina Hulsizer Galvin | Surgery | 225 Water St, Ste C105, Plymouth, MA 02360-4060 | 2006-06-06 |
| 1841845567 | Dhs@dexterity Surgical, LLC | Surgery | 100 Unicorn Park Dr Ste 102, Woburn, MA 01801-3379 | 2019-08-08 |
| 1417243619 | Craig Robert Moores | Surgery | 1151 Robeson St, Fall River, MA 02720-5565 | 2011-06-26 |
| 1386806867 | Nicholas M Elisseou | Surgery | 736 Cambridge St, Boston, MA 02135-2907 | 2008-06-26 |
| 1427222595 | Christian A Petrulio | Surgery | 300c Faunce Corner Rd, North Dartmouth, MA 02747-1257 | 2008-04-18 |
| 1962524785 | Jennifer B Green | Surgery | 300 Mount Auburn St, Sutie 505, Cambridge, MA 02138-5600 | 2007-04-04 |
| 1205989191 | Richard Montilla | Surgery | 299 Lincoln St, Suite 201, Worcester, MA 01605-3646 | 2007-01-22 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 01805 |
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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.