CABIN MEDICAL LLC (NPI# 1992046718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992046718 |
| Entity Type | Organization |
| Organization Name | CABIN MEDICAL LLC |
| Practice Address |
32 South St Suite 300 Waltham MA 02453-3594 |
| Practice Telephone | 7812965295 |
| Mailing Telephone | 7812965295 |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |
| Authorized Official Name | SEAN A ANDREWS (PRESIDENT) |
| Authorized Official Telephone | 7812965295 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| Y | 207Q00000X | Family Medicine | 202711 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
32 SOUTH ST SUITE 300 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-3594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609228 | Doreen Karoll | Pediatrics | 32 South St, Suite 200, Waltham, MA 02453-3555 | 2005-06-14 |
| 1083075550 | Victoria Ferrante | Nutritionist | 32 South St, Suite 103, Waltham, MA 02453-3594 | 2016-03-11 |
| 1205231339 | Doreen Karoll, Md | Pediatrics | 32 South St, Suite 200, Waltham, MA 02453-3555 | 2014-10-31 |
| 1841604493 | Epic Healthcare Solutions LLC | Internal Medicine | 32 South St, Suite # 301 B, Waltham, MA 02453-3594 | 2014-06-11 |
| 1174947253 | Advanced Nutrition, LLC | Dietitian, Registered | 32 South St, Unit 300, Waltham, MA 02453-3594 | 2014-02-11 |
| 1023353281 | Varuna Tuli Md LLC | Clinic/Center | 32 South St, Suite No 200, Waltham, MA 02453-3594 | 2012-11-29 |
| 1760750814 | Victoria L. Janes | Dietitian, Registered | 32 South St, Ste 103, Waltham, MA 02453-3555 | 2011-12-05 |
| 1023277183 | Henry John Merola, M.d., PC | Internal Medicine | 32 South St, Suite 205, Waltham, MA 02453-3594 | 2008-06-04 |
| 1194994921 | Ashok K. Patel Dmd, PC | Dentist | 32 South St, Suite 100, Waltham, MA 02453-3594 | 2008-02-26 |
| 1477675627 | Michelle P Hay | Acupuncturist | 32 South St, Suite 301 A, Waltham, MA 02453-3594 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| 1518059401 | John David Hackett | Family Medicine | 9 Hope Aveneu, 153, Waltham, MA 02453 | 2006-09-28 |
| 1659470839 | Julie E Caruth | Family Medicine | 564 Main Street, Joseph M. Smith Community Health Center, Waltham, MA 02452 | 2006-09-22 |
| 1255323747 | Shenbagam Dewar | Family Medicine | 564 Main St, Waltham, MA 02452-5516 | 2005-08-19 |
| 1992157176 | Teryn Gorgone | Family Medicine | 130 2nd Ave, Waltham, MA 02451-1100 | 2016-07-12 |
| 1831519644 | Brittanie Dillon | Family Medicine | 9 Hope Avenue, Suite 151, Waltham, MA 02453 | 2014-04-18 |
| 1720346737 | Ilana Ambrogi | Family Medicine | 564 Main St, Waltham, MA 02452-5516 | 2012-04-26 |
| 1821254046 | Ekaterina Brodski-quigley | Family Medicine | 1030 Main St, Waltham, MA 02451-7447 | 2008-08-07 |
| 1720147895 | Kamau Karanja | Family Medicine | 564 Main St, Waltham, MA 02452-5516 | 2006-12-06 |
| 1477563377 | Waltham Family Practice, PC | Family Medicine | 9 Hope Ave, 1st Floor, Waltham, MA 02453-2741 | 2006-08-09 |
| Find all providers in WALTHAM | ||||
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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.