PAUL ANDREW HATTIS


Address: 136 Harrison Ave, Boston, MA 02111-1817
Phone: 6176362498

PAUL ANDREW HATTIS (NPI# 1922141407) 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) 1922141407
Entity Type Individual
Full Name PAUL ANDREW HATTIS
Credential M.D.
Practice Address 136 Harrison Ave
Boston
MA 02111-1817
Mailing Address 53 Channing Rd
Newton
MA 02459-1139
Practice Telephone 6176362498
Mailing Telephone 6176362498
Enumeration Date 2007-02-15
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
75529 MA Allopathic & Osteopathic Physicians

Office Location

Street Address 136 HARRISON AVE
City BOSTON
State MA
Zip Code 02111-1817

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720153471 Joyce A Sackey Internal Medicine 136 Harrison Ave, Sackler 8th Floor, Boston, MA 02111-1817 2006-11-21
1548881832 Lily Cabour Physician Assistant 136 Harrison Ave, Boston, MA 02111-1817 2020-04-28
1154957603 Joshua Michael Norris Student in an Organized Health Care Education/Training Program 136 Harrison Ave, Boston, MA 02111-1800 2020-03-17
1306472881 Jessica Lauren Barrett Physician Assistant 136 Harrison Ave, Boston, MA 02111-1817 2020-03-17
1720611338 Marina Rodzianko Blaisdell Physician Assistant 136 Harrison Ave, Boston, MA 02111-1817 2020-02-21
1801429501 Sigal Sasson Physician Assistant 136 Harrison Ave, Boston, MA 02111-1817 2020-02-20
1083246870 Daniel Thomas Spicer Student in an Organized Health Care Education/Training Program 136 Harrison Ave, Boston, MA 02111-1817 2020-02-10
1346559028 Tufts University School of Medicine General Acute Care Hospital 136 Harrison Ave, Boston, MA 02111-1817 2010-09-29
1669798369 Jacqueline Joelle Fremont-rahl Veterinarian 136 Harrison Ave, Boston, MA 02111-1817 2010-04-20
1831238914 Marc Michael Edelstein Pediatrics 136 Harrison Ave, Boston, MA 02111-1817 2007-02-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689271397 Maximilian Richert Counselor 25 Kingston St, 4r, Boston, MA 02111 2020-10-06
1558978957 Tien-hsin Chang Student in an Organized Health Care Education/Training Program 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 2020-09-29
1548883465 Elizabeth Carter Stapleton Dentist Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 2020-05-27
1932729597 Jacob Joseph Kosarchuk Neurological Surgery 800 Washington Street, Proger 7, Boston, MA 02111 2020-04-23
1164051868 Daniele Abela Surgery 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 2020-04-04
1184265258 Jade Orthodontics Dentist 30 Kneeland St, Suite 301, Boston, MA 02111 2019-09-30
1932753639 Loukia Kamille Danaf Student in an Organized Health Care Education/Training Program 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 2019-07-31
1033771944 Faris Khalifa Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 5th Floor, Boston, MA 02111 2019-07-01
1609437276 Blair Hanna Ray Farbstein Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 3rd Floor, Boston, MA 02111 2019-06-25
1821658709 Jennifer Drummond Internal Medicine 800 Washington St. Gme Office, Boston, MA 02111 2019-06-13
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Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528593761 Passport Health Holdings, LLC Preventive Medicine 18 Tremont Street, Suite 404, Boston, MA 02108-2304 2017-04-25
1609997857 Sally J Heymann Preventive Medicine Harvard Sch Pub Health, 677 Huntington Ave, Boston, MA 02115 2007-04-03
1619010006 Harris A Berman Preventive Medicine Tufts Univ School of Medicine, 136 Harrison Ave, Boston, MA 02111 2007-02-15
1740330786 Meir J Stampfer Preventive Medicine Channing Laboratory, 181 Longwood Ave, Boston, MA 02445 2007-01-11
1518026970 Anthony Robbins Preventive Medicine Tufts University, 136 Harrison Avenue, Boston, MA 02111 2006-12-08
1871692624 Helen Holly Hackman Preventive Medicine 250 Washington St, 4th Floor, Boston, MA 02108-4603 2006-09-21
1780606608 North End Community Health Committee Inc Preventive Medicine 332 Hanover Street, Boston, MA 02113 2006-07-24
1376580969 Deborah B Prothrow-stith Preventive Medicine 841 Parker Street, Ground Floor, Boston, MA 02120 2006-06-01
1568412906 Barry Paul Chaiken Preventive Medicine 14 Durham St, Boston, MA 02115-5301 2006-05-10
1679711030 Elizabeth Dean-clower Preventive Medicine 44 Binney St, Swb Rm.560, Boston, MA 02115-6013 2009-01-22
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Competitor

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City BOSTON
Zip Code 02111

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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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