Derek D Reformat (NPI# 1447578901, PAC ID# 1658665898) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1447578901 |
| PAC ID by PECOS | 1658665898 |
| Professional Enrollment ID | I20160810001557 |
| Full Name | Derek D Reformat |
| Organization Legal Name | STEWARD MEDICAL GROUP INC |
| Address |
11 Nevins St 201 Surgical Specialty Brighton MA 02135-3514 |
| Phone Number | 6177892442 |
| Gender | M |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | HAND SURGERY |
| Group Practice PAC ID | 2860688728 |
| Number of Group Practice Members | 1568 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220011 | CAMBRIDGE HEALTH ALLIANCE |
| 220036 | ST ELIZABETH'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11 Nevins St, 201 Surgical Specialty, Brighton, MA 02135-3514 | 6177892442 | STEWARD MEDICAL GROUP INC |
| 235 Cypress St, Suite 210, Brookline, MA 02445-6776 | 6173836250 | LONGWOOD PLASTIC SURGERY PC |
| 10 Camelia Ave, Cambridge, MA 02139-1008 | 6176652229 | CAMBRIDGE PUBLIC HEALTH COMMISSION |
| 119 Windsor St, Cambridge, MA 02139-3647 | 6176653600 | CAMBRIDGE PUBLIC HEALTH COMMISSION |
| 1493 Cambridge St, Cambridge Heath Alliance, Cambridge, MA 02139-1099 | 6176651000 | CAMBRIDGE PUBLIC HEALTH COMMISSION |
| 237 Hampshire St, Cambridge, MA 02139-1306 | 6175755570 | CAMBRIDGE PUBLIC HEALTH COMMISSION |
| 270 Green St, Cambridge, MA 02139-3312 | 6175755850 | CAMBRIDGE PUBLIC HEALTH COMMISSION |
| 100 Elm St, Everett, MA 02149-5128 | 6178430700 | CAMBRIDGE PUBLIC HEALTH COMMISSION |
| 103 Garland St, Everett, MA 02149-5095 | 6173896270 | CAMBRIDGE PUBLIC HEALTH COMMISSION |
| 391 Broadway, Suite 204, Everett, MA 02149-3471 | 6173890045 | CAMBRIDGE PUBLIC HEALTH COMMISSION |
| Organization Legal Name | STEWARD MEDICAL GROUP INC |
| Physicians | 1501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ribhu Tushar Jha | Neurosurgery | Steward Medical Group Inc | 736 Cambridge St Ccp, 8 Neurosurg. Neurology, Brighton, MA 02135-2907 |
| Amber Hicks-thibodeau | Family Medicine | Steward Medical Group Inc | 5170 Belmont Ave, Youngstown, OH 44505-1022 |
| Neal Mahesh Patel | Gastroenterology | Steward Medical Group Inc | 2501 Shenango Valley Fwy, Suite 3, Hermitage, PA 16148-2536 |
| George P Christophi | Gastroenterology | Steward Medical Group Inc | 8075 Spyglass Hill Rd, Suite 101, Melbourne, FL 32940-8281 |
| Darya P. Zakirov | Nurse Practitioner | Steward Medical Group Inc | 100 Industrial Park Rd, Suite 1, Taunton, MA 02780-7396 |
| Cynthia E Rider | Nurse Practitioner | Steward Medical Group Inc | 8005 Bay St, Suite 1, Sebastian, FL 32958-3244 |
| Jeffrey Henry Janco | Nurse Practitioner | Steward Medical Group Inc | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| Pamela Ann Johnson | Nurse Practitioner | Steward Medical Group Inc | 119 Longwood Ave, Rockledge, FL 32955-2827 |
| Shailendra Singh | Interventional Cardiology | Steward Medical Group Inc | 1800 Sulllivan Trail, Suite 200, Easton, PA 18040-8493 |
| Asa Paris | Certified Registered Nurse Anesthetist (crna) | Steward Medical Group Inc | 235 N Pearl St, Brockton, MA 02301-1794 |
| Street Address |
11 NEVINS ST 201 SURGICAL SPECIALTY |
| City | BRIGHTON |
| State | MA |
| Zip | 02135-3514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Finneran | Nurse Practitioner | Steward Medical Group Inc | 11 Nevins St, Suite 306, Brighton, MA 02135-3514 |
| Brian Ash | Internal Medicine | Steward Medical Group Inc | 11 Nevins St, Brighton, MA 02135-3514 |
| Donald J Morris | Plastic and Reconstructive Surgery | Steward Medical Group Inc | 11 Nevins St, 201 Surgical Specialty, Brighton, MA 02135-3514 |
| Kim E Walecka | Certified Registered Nurse Anesthetist (crna) | Steward Medical Group Inc | 11 Nevins St, Suite 306, Brighton, MA 02135-3514 |
| Stephanie P Corrado | Internal Medicine | Steward Medical Group Inc | 11 Nevins St, Brighton, MA 02135-3514 |
| Dicken Shiu Chung Ko | Urology | Steward Medical Group Inc | 11 Nevins St, Brighton, MA 02135-3514 |
| Katia C Korte | Internal Medicine | Steward Medical Group Inc | 11 Nevins St, Brighton, MA 02135-3514 |
| Erica C Thibeault | Physician Assistant | Steward Medical Group Inc | 11 Nevins St, Brighton, MA 02135-3514 |
| Erin M Shanaver | Physician Assistant | Steward Medical Group Inc | 11 Nevins St, Brighton, MA 02135-3514 |
| Jennifer S Andrade | Nurse Practitioner | Steward Medical Group Inc | 11 Nevins St, 303 Urology, Brighton, MA 02135-3514 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Molina Ortiz | Family Medicine | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Katherine Kates | Nurse Practitioner | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Amy Campbell Hanson | Nurse Practitioner | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Lucas Rabeno Fasolo | Internal Medicine | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Elizabeth Rohr | Nurse Practitioner | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Mark R Drews | Internal Medicine | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Maryam Salehpour | Family Medicine | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Tamara Schorr Hammer | Certified Clinical Nurse Specialist (cns) | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Melanie Joy Giegel | Nurse Practitioner | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Dawn M Patterson | Clinical Social Worker | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Find all physicians in zip 02135 | |||
| City | BRIGHTON |
| Zip Code | 02135 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | BRIGHTON + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Derek D Reformat.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.