MR. NICOLAOS V ATHIENITES (NPI# 1902804107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902804107 |
| Entity Type | Individual |
| Full Name | MR. NICOLAOS V ATHIENITES |
| Credential | M.D. |
| Practice Address |
830 Oak St 125e Brockton MA 02301-1168 |
| Practice Telephone | 5085881505 |
| Practice Fax Number | 5085881508 |
| Mailing Telephone | 5085881505 |
| Mailing Fax Number | 5085881508 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2014-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
73425 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HARVARD | 10246 | 01 | |
| BLUE CROSS | J1127 | 01 | |
| TUFTS | 760216 | 01 | |
| MA | 3079937 | 05 |
| Street Address |
830 OAK ST 125E |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288943 | Shreekant Chopra | Internal Medicine | 830 Oak St, 125e, Brockton, MA 02301-1168 | 2005-07-12 |
| 1215279039 | Hoch LLC | Obstetrics & Gynecology | 830 Oak St, Ste 102w, Brockton, MA 02301 | 2013-03-19 |
| 1104116458 | Esp Med LLC | Internal Medicine | 830 Oak St, Suite 102w, Brockton, MA 02301-1168 | 2011-04-07 |
| 1548592934 | Esp Medical LLC | Internal Medicine | 830 Oak St, Suite 102w, Brockton, MA 02301-1168 | 2010-02-10 |
| 1548416449 | Irma A Alarcon Najera | Internal Medicine | 830 Oak St, Suite 105w, Brockton, MA 02301-1168 | 2008-08-11 |
| 1306029970 | Amy E Harding | Nurse Practitioner | 830 Oak St, Suite 223e, Brockton, MA 02301-1168 | 2007-12-06 |
| 1629106679 | Uma A. Dhanabalan | Clinic/Center | 830 Oak St, Brockton, MA 02301-1168 | 2007-03-01 |
| 1912048414 | Renal Medical Care, PC | Internal Medicine | 830 Oak St, Suite 125e, Brockton, MA 02301-1168 | 2007-02-09 |
| 1558427070 | Hanjani PC | Obstetrics & Gynecology | 830 Oak St, Ste 201w, Brockton, MA 02301-1168 | 2006-12-29 |
| 1386700706 | Shenbagavali Ramaswami, Md | Obstetrics & Gynecology | 830 Oak St, Ste 102w, Brockton, MA 02301-1168 | 2006-12-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| 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 |
|---|---|---|---|---|
| 1174563209 | Kenneth M Zoller | Internal Medicine | 375 Westgate Dr, Brockton, MA 02301-1818 | 2006-06-07 |
| 1427001767 | Allan Lauer | Internal Medicine | 76 Campanelli Industrial Dr, Associates In Nephrology, Brockton, MA 02301-1818 | 2006-05-18 |
| 1154372142 | Associates In Nephrology, PC | Internal Medicine | 76 Campenelli Industrial Dr, Brockton, MA 02301-0000 | 2006-05-13 |
| 1740288943 | Shreekant Chopra | Internal Medicine | 830 Oak St, 125e, Brockton, MA 02301-1168 | 2005-07-12 |
| 1518288315 | Sarika Chopra | Internal Medicine | 110 Liberty St, Brockton, MA 02301-5674 | 2010-06-15 |
| 1912048414 | Renal Medical Care, PC | Internal Medicine | 830 Oak St, Suite 125e, Brockton, MA 02301-1168 | 2007-02-09 |
| 1477579795 | Daniel Leroy Bohl | Internal Medicine | 76 Campanelli Industrial Dr, Brockton, MA 02301-1809 | 2006-07-14 |
| 1659379857 | Tai Jin Chung | Internal Medicine | 830 Oak St, 125e, Brockton, MA 02301-1168 | 2005-07-12 |
| 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 |
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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.