DR. DONALD P DELOLLIS (NPI# 1992798672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992798672 |
Entity Type | Individual |
Full Name | DR. DONALD P DELOLLIS |
Credential | M.D. |
Practice Address |
101 Main St Suite 201 Medford MA 02155-4540 |
Practice Telephone | 7813961288 |
Practice Fax Number | 7813911989 |
Mailing Telephone | 7813961288 |
Mailing Fax Number | 7813911989 |
Enumeration Date | 2005-08-26 |
Last Update Date | 2011-05-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 36412 | MA | Other Service Providers |
Street Address |
101 MAIN ST SUITE 201 |
City | MEDFORD |
State | MA |
Zip Code | 02155-4540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902809411 | Raymond S. Murano | Podiatrist | 101 Main St, Ste 207, Medford, MA 02155-4530 | 2005-05-30 |
1063805851 | Diane Coste | Nurse Practitioner | 101 Main St, Suite 110, Medford, MA 02155-4540 | 2015-03-18 |
1942543764 | Neelam M. Thacker, M.d. | Clinic/Center | 101 Main St, #210, Medford, MA 02155-4540 | 2013-03-29 |
1801134416 | Jason M. Gilbert, M.d.p.c. | Ophthalmology | 101 Main St, Suite 208, Medford, MA 02155-4540 | 2013-01-17 |
1275878076 | Nicole Marie Hersel | Nurse Practitioner | 101 Main St, Suite 201, Medford, MA 02155-4540 | 2012-12-05 |
1033491766 | H. Gregory Ota, M.d., P.c | Clinic/Center | 101 Main St, Suite 216, Medford, MA 02155-4540 | 2011-09-20 |
1679866156 | Anthony Michael Paolucci | Dentist | 101 Main St, #206, Medford, MA 02155-4540 | 2011-05-17 |
1235434762 | Karen Ann Quigley | Dentist | 101 Main St, Suite 206, Medford, MA 02155-4540 | 2011-01-13 |
1023348935 | Jason M. Gilbert, M.d. P.C. | Ophthalmology | 101 Main St, Suite 208, Medford, MA 02155-4540 | 2009-12-29 |
1215164744 | James Andriotakis | Physical Medicine & Rehabilitation | 101 Main St, Suite 101, Medford, MA 02155-4540 | 2009-06-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
Find all providers in zip 02155 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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1619450525 | Erica Sanniola | Specialist | 55 Apple Ln, Medford, NY 11763-4044 | 2018-09-07 |
1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
1093267114 | Rhiannon Skye Sgambati | Specialist | 152 Fordham Ave, Medford, NY 11763-3107 | 2016-10-25 |
1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
1932565660 | Vincent Giardina Jr. | Specialist | 1 Elena Ct, Medford, NJ 08055-9175 | 2016-01-11 |
1730551417 | Carson Mckee Case | Specialist | 924 E. Jackson, Medford, OR 97504 | 2015-10-21 |
1841674066 | Zachary Fisher | Specialist | 200 Peekskill Ave, Medford, NY 11763-3123 | 2015-07-17 |
1720472798 | Stephanie Mullen | Specialist | 173 Buffalo Ave, Medford, NY 11763-3714 | 2015-03-26 |
Find all providers in MEDFORD |
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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.