DAVID MINTZ


Address: 41 Mall Road, Graduate Medical Education, Burlington, MA 01805
Phone: (201) 602-9656

DAVID MINTZ (NPI# 1902326200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902326200
Entity Type Individual
Full Name DAVID MINTZ
Credential DO
Practice Address 41 Mall Road
Graduate Medical Education
Burlington
MA 01805
Mailing Address 41 Mall Road Graduate Medical Education
Burlington
MA 01805-0001
Practice Telephone (201) 602-9656
Mailing Telephone 2016029656
Enumeration Date 2017-06-27
Last Update Date 2017-06-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program 272000 MA Student, Health Care

Other Providers DAVID MINTZ

NPI Name Taxonomy Address Enumeration
1346516051 David Neal Mintz Counselor 1211 28th St S, Suite 203, Birmingham, AL 35205-1833 2012-03-27
1518403229 David Mintz Pharmacist 590 E Jackson Blvd, Erwin, NC 28339-9629 2017-01-19
1871541854 David L Mintz Psychiatry & Neurology 25 Main Street, The Austen Riggs Center, Stockbridge, MA 01262 2006-05-04

Office Location

Street Address 41 MALL ROAD
GRADUATE MEDICAL EDUCATION
City BURLINGTON
State MA
Zip Code 01805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750376380 Darryl D Esakof Internal Medicine 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 2005-09-20
1770109258 Vivek Sinanan Student in an Organized Health Care Education/Training Program 41 Mall Road, Burlington, MA 01805 2020-06-22
1023671351 Anne Marcia Woodbury Nurse Anesthetist, Certified Registered 41 Mall Road, Burlington, MA 01805 2019-04-22
1902385099 Bridget Watts Nurse Practitioner 41 Mall Road, Burlington, MA 01805 2018-08-09
1710464300 Lynn Breymer Registered Nurse 41 Mall Road, Lahey Clinic, Inc., Burlington, MA 01805-0001 2018-07-26
1154840130 Melissa Ann Cucchi Nurse Practitioner 41 Mall Road, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 2017-09-11
1386168532 Kimberly Ann Kisil Social Worker 41 Mall Road, Burlington, MA 01803 2017-07-31
1942722939 Ali Al Jabri Student in an Organized Health Care Education/Training Program 41 Mall Road, Burlington, MA 02155 2017-07-11
1881114197 Markus Ricci Student in an Organized Health Care Education/Training Program 41 Mall Road, Burlington, MA 01805 2017-06-27
1114447810 Linda Rose Caruso Nurse Practitioner 41 Mall Road, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 2017-06-23
Find all providers in the same location

Providers in the same zip code

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
1225022155 Laura Saluja Internal Medicine Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 2005-09-07
1770588923 Gene Wong Radiology 41 Mall Rd, Burlington, MA 01805 2005-06-15
Find all providers in zip 01805

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700496759 Ivanna Jeniferr Joseph Student in an Organized Health Care Education/Training Program 733 Arboretum Way, Burlington, MA 01803-3833 2020-08-05
1437769858 Moh'd Rasheed Abu-qaoud Student in an Organized Health Care Education/Training Program 78 Center St, Burlington, MA 01803-3035 2020-08-01
1437776424 Adam Bradley Wiggins Student in an Organized Health Care Education/Training Program Lahey Clinic 41 Mall Road, Burlington, MA 01805-0001 2020-06-25
1326660465 Hemali Ashish Patel Student in an Organized Health Care Education/Training Program 3 Goodwin Dr, Burlington, MA 01803-1048 2020-05-12
1861012544 Ohan Manoukian Student in an Organized Health Care Education/Training Program 4 Marrett Rd, Burlington, MA 01803-4007 2020-04-22
1437787611 Karamatullah Danyal Student in an Organized Health Care Education/Training Program Karamatullah Danyal (uvmmc), 111 Colchester Ave, Burlington, VT 05401-1473 2020-04-01
1790313120 Kyna Donohue Student in an Organized Health Care Education/Training Program 46 Lafountain St Apt 2, Burlington, VT 05401-4237 2020-03-31
1821626748 John Henry Priester Jr. Student in an Organized Health Care Education/Training Program University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 2020-03-27
1598398752 Scott Kevin Olehnik Student in an Organized Health Care Education/Training Program 89 Beaumont Ave # 368, Burlington, VT 05405-1742 2020-02-17
1407499247 Amy Packer Student in an Organized Health Care Education/Training Program 83 N Willard St, Burlington, VT 05401-3312 2019-10-24
Find all providers in BURLINGTON

Competitor

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City BURLINGTON
Zip Code 01805

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Dataset Information

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.

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