MINIMALLY INVASTIVE THORACIC SURGERY ASSOCIATES, P.C. (NPI# 1841515434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841515434 |
| Entity Type | Organization |
| Organization Name | MINIMALLY INVASTIVE THORACIC SURGERY ASSOCIATES, P.C. |
| Practice Address |
800 W Cummings Park Ste. 4700 Woburn MA 01801-6372 |
| Mailing Address |
340 Main St Ste. 670 Worcester MA 01608-1604 |
| Practice Telephone | 7819326487 |
| Practice Fax Number | 7819326486 |
| Mailing Telephone | 5087543566 |
| Mailing Fax Number | 5084386368 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2011-12-06 |
| Authorized Official Name | DR. PRODYUT K PODDAR (PRESIDENT) |
| Authorized Official Telephone | 7819326487 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110083476A | 05 |
| Street Address |
800 W CUMMINGS PARK STE. 4700 |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-6372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033199732 | Winchester Hospital | Home Health | 800 W Cummings Park, Suite 5000, Woburn, MA 01801-6372 | 2006-01-19 |
| 1164889655 | Woburn Vein Clinic LLC | Surgery | 800 W Cummings Park, Suite 2500, Woburn, MA 01801-6372 | 2016-01-28 |
| 1144643370 | North Shore Pain Care LLC | Pain Medicine | 800 W Cummings Park, Suite 1200, Woburn, MA 01801-6372 | 2014-01-23 |
| 1720426117 | Sleepvip | Durable Medical Equipment & Medical Supplies | 800 W Cummings Park, Suite 2000, Woburn, MA 01801-6372 | 2013-06-07 |
| 1003180621 | Caring for All | Family Medicine | 800 W Cummings Park, Woburn, MA 01801-6372 | 2012-02-29 |
| 1083999338 | Jack Brian Levin | Social Worker | 800 W Cummings Park, Suite 3000, Woburn, MA 01801-6372 | 2011-10-19 |
| 1326320607 | Anthony Cardone Dmd PC | Dentist | 800 W Cummings Park, Woburn, MA 01801-6372 | 2011-09-13 |
| 1629363346 | New England Urogynecology P.C. | Obstetrics & Gynecology | 800 W Cummings Park, Suite 2550, Woburn, MA 01801-6372 | 2011-06-10 |
| 1386965630 | Digitrace Care Services, Inc. | Clinic/Center | 800 W Cummings Park, 5325, Woburn, MA 01801 | 2010-06-21 |
| 1053631853 | Jenkyns Physical Therapy & Wellness | Physical Therapist | 800 W Cummings Park, Suite 4650, Woburn, MA 01801-6372 | 2010-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156395 | Prodyut K Poddar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 800 W. Cummings Park, Suite 4700, Woburn, MA 01801-6372 | 2005-07-06 |
| 1063646008 | Minimally Invasive Thoracic Surgery Associates, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 800 W Cummings Park, Suite 4700, Woburn, MA 01801-6372 | 2009-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790030732 | Arun Kanala | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 38 Juniper St Apt 114, Brookline, MA 02445-7139 | 2012-07-16 |
| 1770844938 | William Grant Hendren | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 232 Washington St, Duxbury, MA 02332-4548 | 2012-06-05 |
| 1104105741 | Daniel H. Raess | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8 Stanton Cir, Boxford, MA 01921-2127 | 2011-08-14 |
| 1871826644 | Jennifer Lynn Wilson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 185 Pilgrim Road, Deaconess 201, Boston, MA 02215 | 2009-09-11 |
| 1922268424 | Eric N Feins | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Boston Children's Hospital -- 300 Longwood Avenue, Bader, 2nd Floor, Boston, MA 02115-5724 | 2008-06-10 |
| 1992979645 | Ruchi Thanawala | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199-0001 | 2008-04-14 |
| 1619151388 | John R Mccormick | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 960 Chequessett Neck Rd, Wellfleet, MA 02667-3706 | 2007-12-18 |
| 1992991657 | Lana Schumacher Beal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Fruit St # 7, Boston, MA 02114-2696 | 2007-09-17 |
| 1053432286 | Biagio A Conte | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 78 Winch St, Framingham, MA 01701-3738 | 2007-04-03 |
| 1548303936 | Robert L Thurer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Harvard Medical International, One Renaissance Pk, Ste 900, Boston, MA 02120 | 2007-02-15 |
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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.