Michael Mitry (NPI# 1700193406, PAC ID# 1759538218) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1700193406 |
| PAC ID by PECOS | 1759538218 |
| Professional Enrollment ID | I20120906000143 |
| Full Name | Michael Mitry |
| Organization Legal Name | SHENOUDA CORP |
| Address |
20 E St Suite 6 Hanover MA 02339-1638 |
| Phone Number | 7818261150 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7113236399 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220083 | BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM |
| 220126 | NORWOOD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 20 E St, Suite 6, Hanover, MA 02339-1638 | 7818261150 | SHENOUDA CORP |
| 1410 Highland Ave, Suite 204, Needham, MA 02492-2617 | 7814444044 | SHENOUDA CORP |
| Organization Legal Name | SHENOUDA CORP |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher D Karter | Podiatry | Shenouda Corp | 1410 Highland Ave, Suite 204, Needham, MA 02492-2617 |
| Street Address |
20 E ST SUITE 6 |
| City | HANOVER |
| State | MA |
| Zip | 02339-1638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherifat A Hinchey | Internal Medicine | 20 E St, Suite 5, Hanover, MA 02339-1638 | |
| Ronald E Wuotila | Chiropractic | 20 E St, Suite 10, Hanover, MA 02339-1638 | |
| Michael J Floridia | Optometry | 20 E St, Hanover, MA 02339-1638 | |
| Elena M Schepis Tzeng | Qualified Audiologist | 20 E St, Suite 1, Hanover, MA 02339-1638 | |
| Rafay S Mehdi | Internal Medicine | 20 E St, Hanover, MA 02339-1638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Parker | Chiropractic | 793 Webster St, Hanover, MA 02339-1126 | |
| Helene E Garber | Psychiatry | 135 Webster St, Hanover, MA 02339-1200 | |
| Christine A Harrington | Clinical Social Worker | 135 Webster St, Hanover, MA 02339-1200 | |
| Donna E Flynn | Nurse Practitioner | South Shore Ob-gyn Hanover Ob-gyn Inc. | 135 Webster St, Hanover, MA 02339-1200 |
| Gerald J Pouliot | Obstetrics/gynecology | South Shore Ob-gyn Hanover Ob-gyn Inc. | 135 Webster St, Hanover, MA 02339-1200 |
| Donne E Holden | Obstetrics/gynecology | 135 Webster St, Hanover, MA 02339-1200 | |
| Joan E Rosa | Nurse Practitioner | Pinnacle Health Management LLP | 105 Webster St, Suite 8, Hanover, MA 02339-1227 |
| Kristen L Barletta | Certified Clinical Nurse Specialist (cns) | Pinnacle Health Management LLP | 105 Webster St, Suite 8, Hanover, MA 02339-1227 |
| Ruth M Soderberg | Nurse Practitioner | Pinnacle Health Management LLP | 105 Webster St, Suite 8, Hanover, MA 02339-1227 |
| Linda S Winiker | Clinical Social Worker | Pinnacle Health Management LLP | 105 Webster St, Suite 8, Hanover, MA 02339-1227 |
| Find all physicians in zip 02339 | |||
| City | HANOVER |
| Zip Code | 02339 |
| Specialty | PODIATRY |
| City + Specialty | HANOVER + PODIATRY |
Please comment or provide details below to improve the information on Michael Mitry.
| 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.