DEDHAM MEDICAL ASSOC INC (NPI# 1932112117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932112117 |
| Entity Type | Organization |
| Organization Name | DEDHAM MEDICAL ASSOC INC |
| Practice Address |
One Lyons Street Dedham MA 02026 |
| Mailing Address |
Po Box 9120 Dedham MA 02027-9120 |
| Practice Telephone | 7813291400 |
| Practice Fax Number | 7812785667 |
| Mailing Telephone | 7813291400 |
| Mailing Fax Number | 7812785667 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-05-11 |
| Authorized Official Name | MR. RICHARD M RUSSO (CFO) |
| Authorized Official Telephone | 7812785540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
========= | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9766634 | 05 | |
| MA | 9766588 | 05 | |
| MA | 9766545 | 05 | |
| MA | 9766596 | 05 | |
| MA | 9766561 | 05 | |
| MA | 9766529 | 05 | |
| MA | 9766618 | 05 | |
| MA | 9766626 | 05 | |
| MA | 9766537 | 05 | |
| MA | 9766553 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407860968 | Dedham Medical Assoc Inc | Urology | One Lyons St, Dedham, MA 02026 | 2006-07-28 |
| 1326064312 | Dedham Medical Assoc Inc | Surgery | One Lyons Street, Dedham, MA 02026 | 2006-07-14 |
| 1013942390 | Dedham Medical Assoc Inc | Podiatrist | One Lyons Street, Dedham, MA 02026 | 2006-07-12 |
| 1205836376 | Dedham Medical Assoc Inc | Dentist | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1922008093 | Dedham Medical Assoc Inc | Audiologist | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1831199900 | Dedham Medical Assoc Inc | Dietitian, Registered | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1740280817 | Dedham Medical Assoc Inc | Pediatrics | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1902806078 | Dedham Medical Assoc Inc | Physical Therapist | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1548260615 | Dedham Medical Assoc Inc | Physical Medicine & Rehabilitation | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1366442436 | Dedham Medical Assoc Inc | Obstetrics & Gynecology | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| Street Address |
ONE LYONS STREET |
| City | DEDHAM |
| State | MA |
| Zip Code | 02026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952372872 | Julie J Bilgor | Physical Therapist | One Lyons Street, Dedham, MA 02026 | 2006-01-30 |
| 1740355197 | Betsy D Kontoleon | Internal Medicine | One Lyons Street, Dedham, MA 02026 | 2006-11-21 |
| 1992889711 | Corine Milgram | Nurse Practitioner | One Lyons Street, Dedham, MA 02026 | 2006-10-25 |
| 1023027745 | Stefanie Wong | Dentist | One Lyons Street, Dedham, MA 02026 | 2006-08-05 |
| 1316965999 | Dedham Medical Assoc | Internal Medicine | One Lyons Street, Dedham, MA 02026 | 2006-07-18 |
| 1326064312 | Dedham Medical Assoc Inc | Surgery | One Lyons Street, Dedham, MA 02026 | 2006-07-14 |
| 1659306942 | Dedham Medical Associates, Inc | Orthopaedic Surgery | One Lyons Street, Dedham, MA 02026 | 2006-07-12 |
| 1013942390 | Dedham Medical Assoc Inc | Podiatrist | One Lyons Street, Dedham, MA 02026 | 2006-07-12 |
| 1447280615 | Jay S Schwab | Dentist | One Lyons Street, Dedham, MA 02026 | 2006-07-04 |
| 1548236920 | Joseph L Andrews | Internal Medicine | One Lyons Street, Dedham, MA 02026 | 2006-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
| 1497354674 | Lifetime Physical Therapy | Physical Therapist | 453 Sprague St, Dedham, MA 02026 | 2020-10-20 |
| 1164060067 | Healthy Healing Home Care Agency LLC | In Home Supportive Care | 3 Allied Dr Suite 303, Dedham, MA 02026 | 2019-12-11 |
| 1689149023 | Alyssa Michel | Counselor | 20 E Astbrook Rd, Suite 104, Dedham, MA 02026 | 2018-10-12 |
| 1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
| 1598283848 | Jason Peltier | Physical Therapist | 606 Providence Highway, Dedham, MA 02026 | 2017-09-07 |
| 1558883371 | Padme Physical Therpay | Clinic/Center | 227 Legacy Place Boulevard, Stil Studio, Dedham, MA 02026 | 2017-07-13 |
| 1851828107 | Pm Pediatrics of New England | Pediatrics | 719 Providence Highway, Dedham, NY 02026 | 2017-05-17 |
| 1740715846 | Stil Legacy Dedham | Physical Therapist | 227 Legacy Place, Dedham, MA 02026 | 2017-04-26 |
| 1053856310 | Donald Hughes | Social Worker | 270 Bridge Street, Suite 301, Dedham, MA 02026 | 2016-12-22 |
| Find all providers in zip 02026 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457592461 | Chelmsford Mri, P.C. | Radiology | 200 Providence Hwy, Route 1, Suite 210, Dedham, MA 02026-1881 | 2009-03-20 |
| 1063430643 | Dedham Medical Associate | Radiology | 1 Lyons Street, Dedham, MA 02026 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604570 | Yarab Mubarak Habib Al Bulushi | Radiology | 330 Brookline Ave Dept of Radiology, Boston, MA 02215-5400 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1417507740 | Daniel Andres Vargas Zapata | Radiology | 330 Brookline Ave # Es-215, Boston, MA 02215-5491 | 2019-09-18 |
| 1386129468 | Keri Susan Bouthiller | Radiology | 9 Stevens St, Stoneham, MA 02180-1806 | 2018-09-25 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1790270239 | Rahul Gujrathi | Radiology | 450 Brookline Ave Dana-farber Cancer Institute, Department of Imaging Dl-198, Boston, MA 02215 | 2018-06-27 |
| 1083104434 | Edgar Leonardo Martinez-salazar | Radiology | 20 Michigan Ave, Somerville, MA 02145-2228 | 2018-05-11 |
| 1548758790 | Hudson Valley Radiologists, PC | Radiology | 18 West Rd, Great Barrington, MA 01230-1947 | 2018-04-24 |
| 1700381282 | Casey Keith Bishop | Radiology | 820 Harrison Ave Dept Of, Boston, MA 02118-2905 | 2018-03-27 |
| 1922517713 | Arwa Alzaghal | Radiology | Department of Radiology, Brigham & Women's Hospital, 75 Francis Street, Boston, MA 02115 | 2017-09-25 |
| 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.