PANAGIOTIS T VLAGOPOULOS (NPI# 1851356513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851356513 |
| Entity Type | Individual |
| Full Name | PANAGIOTIS T VLAGOPOULOS |
| Credential | M.D. |
| Practice Address |
47 Obery Street Suite 1a Plymouth MA 02360-2229 |
| Practice Telephone | 5087474883 |
| Practice Fax Number | 5087476661 |
| Mailing Telephone | 5087474883 |
| Mailing Fax Number | 5087476661 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2013-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
207726 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE SHIELD NUMBER | J28219 | 01 |
| MA | RAILROAD MEDICARE | P00262951 | 01 |
| MA | US FAMILY HEALTH-PCP | 491407 | 01 |
| CIGNA | 9827981 | 01 | |
| MA | TUFTS MEDICARE PREFERRED | 467109 | 01 |
| MA | US FAMILY HEALTH-SPECIALI | 467109 | 01 |
| MA | HARVARD PILGRIM HEALTH | AA11759 | 01 |
| MA | 2060710 | 05 | |
| AETNA | 3972881 | 01 | |
| MA | TUFTS HEALTH PLAN | 467109 | 01 |
| Street Address |
47 OBERY STREET SUITE 1A |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124305099 | South Shore Nephrology, P.C. | Specialist | 47 Obery Street, Suite 1a, Plymouth, MA 02360-2229 | 2011-11-07 |
| 1386691012 | Piotr Lazowski | Internal Medicine | 47 Obery Street, Suite 1a, Plymouth, MA 02360-2229 | 2006-05-28 |
| 1073578779 | South Shore Nephrology, P.C. | Internal Medicine | 47 Obery Street, Ste 1a, Plymouth, MA 02360-2229 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1073578779 | South Shore Nephrology, P.C. | Internal Medicine | 47 Obery Street, Ste 1a, Plymouth, MA 02360-2229 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386275444 | Grace Medical PC | Internal Medicine | 16 Ledge Hill St, Randolph, MA 02368-3514 | 2020-01-28 |
| 1588154041 | Ralph Nader | Internal Medicine | 72 East Concord St, Collamore Suite 29, Boston, MA 02118 | 2018-05-10 |
| 1184122905 | Claire Avillach | Internal Medicine | 650 Albany St Rm 540, Boston, MA 02118-2518 | 2018-01-26 |
| 1457880213 | Kidney Care and Transplant Services of New England, PC | Internal Medicine | 51 Locust St Ste 3, Northampton, MA 01060-2045 | 2017-06-06 |
| 1609263888 | Naveed Ashfaq | Internal Medicine | 148 Green St, Foxboro, MA 02035-2869 | 2015-04-24 |
| 1043612823 | New England Nephrology Associates, Pllc | Internal Medicine | 263 Huntington Ave # 232, Boston, MA 02115-4506 | 2014-09-23 |
| 1215345178 | Loulwa Alsharhan | Internal Medicine | 650 Albany St Fl 5, Boston, MA 02118-2518 | 2014-07-23 |
| 1154653921 | Innovative Medicine, PC | Internal Medicine | 70 Parker Hill Ave, Suite 3406, Roxbury Crossing, MA 02120-3224 | 2010-02-04 |
| 1639324791 | Patricia A Suzman | Internal Medicine | 87 Beacon St, Boston, MA 02108-3323 | 2008-11-17 |
| 1497922439 | Harald Sinclair Mackenzie | Internal Medicine | 422b Monument St, Concord, MA 01742-1810 | 2008-05-09 |
| Find all providers with the same taxonomy | ||||
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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.