MRS. SUSAN DECOSTE (NPI# 1942284591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942284591 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN DECOSTE |
| Credential | M.D. |
| Practice Address |
90 Libbey Pkwy Suite 200 Weymouth MA 02189-3129 |
| Practice Telephone | 7813359700 |
| Practice Fax Number | 7813359709 |
| Mailing Telephone | 7813359700 |
| Mailing Fax Number | 7813359709 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2008-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 71958 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 070016618 | 01 | |
| HARVARD PILGRIM | 4292 | 01 | |
| BC/BS | J09323 | 01 | |
| TUFTS | 724847 | 01 | |
| MA | 3063534 | 05 |
| Street Address |
90 LIBBEY PKWY SUITE 200 |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02189-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316928013 | Donna J Gensheimer | Nurse Practitioner | 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3129 | 2005-11-09 |
| 1184176810 | Elizabeth Lopes-costa | Nurse Practitioner | 90 Libbey Pkwy, Weymouth, MA 02189 | 2016-10-28 |
| 1972910875 | Katharine Berrio | Specialist/Technologist | 90 Libbey Pkwy, Suite 103, Weymouth, MA 02189-3129 | 2014-07-13 |
| 1760818116 | Granite Medical Group, Inc | Internal Medicine | 90 Libbey Pkwy, Suite 201, Weymouth, MA 02189-3129 | 2013-09-17 |
| 1497008155 | Christine Bitetti | Physician Assistant | 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3129 | 2012-10-18 |
| 1063797512 | Alicia Van Cott | Nurse Practitioner | 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3129 | 2011-10-17 |
| 1417256314 | Heidi Flora Anderson-dockter | Dermatology | 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3129 | 2011-03-18 |
| 1497085831 | Loren G. Fickies | Obstetrics & Gynecology | 90 Libbey Pkwy, Suite 105, Weymouth, MA 02189-3129 | 2010-01-07 |
| 1457688756 | Janelle Murphy | Obstetrics & Gynecology | 90 Libbey Pkwy, Weymouth, MA 02189-3129 | 2009-11-06 |
| 1760619902 | Courtney Reilly Csikesz | Dermatology | 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3129 | 2009-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205300985 | M. Taylor Fontneau | Nurse Practitioner | 90 Libbey Industrial Pkwy Ste 106, Weymouth, MA 02189 | 2019-01-16 |
| 1336668011 | Svetlana Chentsova | Nurse Practitioner | 51 Performance Dr Fl Drive, Weymouth, MA 02189 | 2017-09-14 |
| 1518487818 | Dana Shepherd | Specialist/Technologist | 163 Libbey Industrial Parkway, Suite 302, Weymouth, MA 02189 | 2017-06-27 |
| 1063867802 | Gerald F. Finerty IIi | Nurse Anesthetist, Certified Registered | 163 Libbey Pkwy Ste 301, Weymouth, MA 02189 | 2016-04-29 |
| 1417326604 | Ocean State Urgent Care | Physician Assistant | 119 Liberty Bell Cir, Weymouth, MA 02189 | 2015-09-18 |
| 1558746636 | Jaime Hill | Nurse Practitioner | 31 Charles Street, Weymouth, MA 02189 | 2015-07-30 |
| 1780865337 | James Tyler Carpenter | Psychologist | Neurobehavioral Associates, 169 Libbey Parkway, 2nd Floor, Weymouth, MA 02189 | 2007-11-23 |
| 1508054248 | Anita Nathan Shukla | Ophthalmology | 97 Libbey Industrial Parkway, Suite 100, E. Weymouth, MA 02189 | 2007-10-09 |
| 1164618757 | Mahesh Pandey | Internal Medicine | Dana Farber Community Cancer Care, 51 Performance Drive, Suite 110, Weymouth, MA 02189 | 2007-09-18 |
| 1750573887 | Michele Donlon | Speech-Language Pathologist | 163 Libbey Industrial Pkwy Ste 302, Weymouth, MA 02189 | 2007-08-13 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417256314 | Heidi Flora Anderson-dockter | Dermatology | 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3129 | 2011-03-18 |
| 1760619902 | Courtney Reilly Csikesz | Dermatology | 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3129 | 2009-06-15 |
| 1245214311 | Teresa Degiacomo | Dermatology | 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3129 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090445 | Peter T Demos Md | Dermatology | 125 Liberty St Ste 206, Springfield, MA 01103-1109 | 2020-07-08 |
| 1376180760 | Integrated Dermatology of Needham, LLC | Dermatology | 60 Dedham Ave Ste 206, Needham, MA 02492-3061 | 2019-12-04 |
| 1164069647 | Integrated Dermatology of Mashton, LLC | Dermatology | 800 Falmouth Rd Ste 101, Mashpee, MA 02649-3303 | 2019-12-04 |
| 1972164937 | Kuchnir Realty, LLC | Dermatology | 11 Apex Dr Ste 103a, Marlborough, MA 01752-1860 | 2019-06-21 |
| 1265098032 | Mark Amster Derm | Dermatology | 800 Falmouth Rd Ste 101b, Mashpee, MA 02649-3352 | 2019-05-16 |
| 1831684224 | Chotinij Lertphanichkul | Dermatology | 850 Boylston St Ste 437, Chestnut Hill, MA 02467-2405 | 2018-06-27 |
| 1023515277 | Vibrant Dermatology Pllc | Dermatology | 588 Providence Hwy, Dedham, MA 02026-6804 | 2018-04-12 |
| 1437665908 | Kuchnir Dermatology, PC | Dermatology | 20 Hope Ave Ste 105, Waltham, MA 02453-2717 | 2017-12-20 |
| 1265941082 | Integrated Dermatology Group, LLC | Dermatology | 280 Washington St Ste 212, Brighton, MA 02135-3511 | 2017-09-25 |
| 1679098750 | Avant-garde Medical LLC | Dermatology | 62 Pleasant St, Natick, MA 01760-5634 | 2017-08-09 |
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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.