JORGE ENRIQUE TELLO (NPI# 1831105162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831105162 |
| Entity Type | Individual |
| Full Name | JORGE ENRIQUE TELLO |
| Credential | MD |
| Practice Address |
630 Adams St Milton MA 02186-5631 |
| Mailing Address |
2110 Dorchester Ave Suite 302 Dorchester MA 02124-5699 |
| Practice Telephone | 6176980910 |
| Practice Fax Number | 6176963722 |
| Mailing Telephone | 6176980910 |
| Mailing Fax Number | 6176963722 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 38537 | MA | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
38537 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2039052 | 05 | |
| MA | TUFTS HEALTH PLAN | 038537 | 01 |
| MA | BLUE CROSS BLUE SHIELD MA | TEM09072 | 01 |
| MA | HARVARD PILGRIM HC | 6359 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497080048 | Jorge Fernando Tello | Internal Medicine | 294 Washington St, Suite 210, Boston, MA 02108-4634 | 2009-10-14 |
| 1083892558 | Jorge Alberto Tello | Dentist | 1705 Prescott Rd, Modesto, CA 95350-2543 | 2008-02-06 |
| Street Address |
630 ADAMS ST |
| City | MILTON |
| State | MA |
| Zip Code | 02186-5631 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073975405 | Carlos Ricardo Diaz | Internal Medicine | 5600 N Airport Rd, Milton, FL 32583-8658 | 2016-03-24 |
| 1629325634 | Saad Sakkal | Internal Medicine | 5992 Berryhill Rd Ste 104, Milton, FL 32570-1018 | 2012-08-08 |
| 1417197260 | Andrew P Foley | Internal Medicine | 421 Canton Ave, Milton, MA 02186-3334 | 2009-03-05 |
| 1073778734 | Health Conscious, Inc. | Internal Medicine | 789 Ethan Allen Hwy, Milton, VT 05468-9797 | 2008-07-22 |
| 1750581476 | William David Rummel IIi | Internal Medicine | 5850 E Milton Rd, Milton, FL 32583-7914 | 2007-07-20 |
| 1083737720 | Joseph Edward Grady II | Internal Medicine | 403 Mahoganywood Dr, Milton, WV 25541-1182 | 2007-04-09 |
| 1780767400 | Gayle P Myers | Internal Medicine | 789 Ethan Allen Highway, Milton, VT 05468 | 2006-10-24 |
| 1801997564 | John Barravecchio | Internal Medicine | 26 Houston Ave, Milton, MA 02186 | 2006-09-26 |
| 1285689786 | Maria V. Haldar | Internal Medicine | 124 Broadkill Rd, Milton, DE 19968-1008 | 2006-05-23 |
| 1871548693 | Uday Ashwin Jani | Internal Medicine | 28312 Lewes Georgetown Hwy, Milton, DE 19968-3115 | 2006-05-23 |
| Find all providers in MILTON | ||||
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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.