Flavia Fedeles (NPI# 1376851972, PAC ID# 1759509151) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1376851972 |
| PAC ID by PECOS | 1759509151 |
| Professional Enrollment ID | I20140827000353 |
| Full Name | Flavia Fedeles |
| Organization Legal Name | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC |
| Address |
50 Staniford St Boston MA 02114-2517 |
| Gender | F |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2466365820 |
| Number of Group Practice Members | 2471 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220071 | MASSACHUSETTS GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 50 Staniford St, Boston, MA 02114-2517 | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC | |
| 55 Fruit St, Boston, MA 02114-2696 | 6177240287 | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC |
| Organization Legal Name | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC |
| Physicians | 2380 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward N Wei | Physical Medicine and Rehabilitation | Massachusetts General Physicians Organization Inc | 570 Worcester Rd Route 9, Spaulding Outpatient Ctr Framingham, Framingham, MA 01702-5311 |
| Laura A Richardson | Psychologist, Clinical | Massachusetts General Physicians Organization Inc | 50 Staniford St, Boston, MA 02114-2517 |
| Jennifer Mary Venafra | Certified Registered Nurse Anesthetist (crna) | Massachusetts General Physicians Organization Inc | 1 Maguire Rd, Lexington, MA 02421-3114 |
| Lars C Erickson | Pediatric Medicine | Massachusetts General Physicians Organization Inc | 33 Oak Ave, Worcester, MA 01605-2752 |
| Alaka Ray | Internal Medicine | Massachusetts General Physicians Organization Inc | 55 Fruit St, Boston, MA 02114-2696 |
| Reem Jabr | Registered Dietitian Or Nutrition Professional | Massachusetts General Physicians Organization Inc | 52 2nd Ave, Waltham, MA 02451-1163 |
| John A Patti | Diagnostic Radiology | Massachusetts General Physicians Organization Inc | 102 Endicott St, Mgh North Shore Medical, Danvers, MA 01923-3623 |
| Andrea L Russo | Radiation Oncology | Massachusetts General Physicians Organization Inc | 55 Fruit St, Boston, MA 02114-2696 |
| Meghan E Sise | Nephrology | Massachusetts General Physicians Organization Inc | 55 Fruit St, Boston, MA 02114-2696 |
| Stuti G Shroff | Pathology | Massachusetts General Physicians Organization Inc | 55 Fruit St, Boston, MA 02114-2696 |
| Street Address |
50 STANIFORD ST |
| City | BOSTON |
| State | MA |
| Zip | 02114-2517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura A Richardson | Psychologist, Clinical | Massachusetts General Physicians Organization Inc | 50 Staniford St, Boston, MA 02114-2517 |
| Michelle Boutet | Registered Dietitian Or Nutrition Professional | Massachusetts General Physicians Organization Inc | 50 Staniford St, Boston, MA 02114-2504 |
| Lela Caros | Internal Medicine | Massachusetts General Physicians Organization Inc | 50 Staniford St, Boston, MA 02114-2517 |
| John Elliott Godine | Endocrinology | Massachusetts General Physicians Organization Inc | 50 Staniford St, Boston, MA 02114-2517 |
| Cristina Cusin | Psychiatry | Massachusetts General Physicians Organization Inc | 50 Staniford St, Boston, MA 02114-2517 |
| Robert Brown | Pulmonary Disease | Massachusetts General Physicians Organization Inc | 50 Staniford St, Boston, MA 02114-2517 |
| Albert S. Yeung | Psychiatry | Massachusetts General Physicians Organization Inc | 50 Staniford St, Boston, MA 02114-2517 |
| Rebecca B Campen | Dermatology | Massachusetts General Physicians Organization Inc | 50 Staniford St, Boston, MA 02114-2517 |
| Astrid Desrosiers | Psychiatry | Massachusetts General Physicians Organization Inc | 50 Staniford St, Boston, MA 02114-2517 |
| Jennifer Lynn Jett | Certified Registered Nurse Anesthetist (crna) | Jjm Medical Services, PC | 50 Staniford St, Lbby Level, Boston, MA 02114-2544 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack V Greiner | Ophthalmology | Charles River Eye Associates | 5 Whittier Pl, Suite 102, Boston, MA 02114-1429 |
| Christie Y Lee | Physician Assistant | Frank X Pedlow Jr Md PC | 30 Lancaster St, Fl 2, Boston, MA 02114-1704 |
| Natalie Jones | Physician Assistant | Boston Dermatology and Laser Center, PC | 30 Lancaster St, Suite 400, Boston, MA 02114-1704 |
| Michelle Danley | Physical Therapy | Pinnacle Rehabilitation Network LLC | 30 Lancaster St, 100 Blue Hills Sports and Spine of Boston, Boston, MA 02114-1704 |
| Joannes M Grevelink | Dermatology | Boston Dermatology and Laser Center, PC | 30 Lancaster St, Suite 400, Boston, MA 02114-1704 |
| Erik P Holmes | Physical Therapy | Pinnacle Rehabilitation Network LLC | 30 Lancaster St, 100 Blue Hills Sports and Spine of Boston, Boston, MA 02114-1704 |
| Amanda H Auerbach | Dermatology | 30 Lancaster St, Suite 400, Boston, MA 02114-1704 | |
| Erica J Lundgren | Physician Assistant | Boston Dermatology and Laser Center, PC | 30 Lancaster St, Suite 400, Boston, MA 02114-1704 |
| Andrew X Destefano | Physical Therapy | Pinnacle Rehabilitation Network LLC | 30 Lancaster St, 100 Blue Hills Sports and Spine of Boston, Boston, MA 02114-1704 |
| Frank X Pedlow Jr. | Orthopedic Surgery | Frank X Pedlow Jr Md PC | 30 Lancaster St, Fl 2, Boston, MA 02114-1704 |
| Find all physicians in zip 02114 | |||
| City | BOSTON |
| Zip Code | 02114 |
| Specialty | DERMATOLOGY |
| City + Specialty | BOSTON + DERMATOLOGY |
Please comment or provide details below to improve the information on Flavia Fedeles.
| 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.