DR. SHARMILA SRINIVASAN (NPI# 1033386057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033386057 |
| Entity Type | Individual |
| Full Name | DR. SHARMILA SRINIVASAN |
| Credential | M.D. |
| Practice Address |
179 Quincy St Brockton MA 02302-2966 |
| Mailing Address |
901 Dulaney Valley Rd Suite 200 Towson MD 21204-2600 |
| Practice Telephone | 5088940400 |
| Practice Fax Number | 5085653107 |
| Mailing Telephone | 4103374500 |
| Mailing Fax Number | 4103397326 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 010125827 | VA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | D0079835 | MD | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | N7178 | TX | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | A110061 | CA | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
281438 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Liberty St, Brockton, MA 023015674 | 5088940400 | 5085653243 |
| 901 Dulaney Valley Rd, Suite 200, Towson, MD 212042600 | 4103374500 | 4103397326 |
| Street Address |
179 QUINCY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790763324 | David Alvarez-morales | Pediatrics | 179 Quincy St, Brockton, MA 02302-2959 | 2006-01-04 |
| 1912406273 | Arielle Berish | Registered Nurse | 179 Quincy St, Brockton, MA 02302-2966 | 2018-02-01 |
| 1427505874 | Natalie Elizabeth Schaeffer | Optometrist | 179 Quincy St, Brockton, MA 02302-2966 | 2016-09-01 |
| 1780910513 | Melissa L Clifford | Nurse Practitioner | 179 Quincy St, Brockton, MA 02302-2966 | 2009-10-29 |
| 1225178346 | Karyn Marie Ellis | Nurse Practitioner | 179 Quincy St, Brockton, MA 02302-2966 | 2007-02-07 |
| 1942301239 | Allied Pediatrics of Greater Brockton Inc. | Pediatrics | 179 Quincy St, Brockton, MA 02302-2966 | 2006-09-26 |
| 1891804852 | Paul B Cotter Md PC | Ophthalmology | 179 Quincy St, Brockton, MA 02302 | 2006-08-30 |
| 1326050212 | Amy Gurland | Optometrist | 179 Quincy St, Brockton, MA 02302 | 2006-08-12 |
| 1346273646 | Ronald J Sunog | Pediatrics | 179 Quincy St, Brockton, MA 02302-2966 | 2006-07-09 |
| 1245200260 | Marianne Ruskay Glassanos | Nurse Practitioner | 179 Quincy St, Brockton, MA 02302-2959 | 2006-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843937 | North Shore Retina Pllc | Ophthalmology | 900 Cummings Ctr Ste 308v, Beverly, MA 01915-6181 | 2020-08-24 |
| 1447869839 | Brian Ballios | Ophthalmology | 243 Charles St Rm 319, Boston, MA 02114-3002 | 2020-07-30 |
| 1710953690 | Shahrokh Charles Khani | Ophthalmology | 900 Cummings Center, Suite 303v, Beverly, MA 01915-6181 | 2006-02-28 |
| 1285258236 | Cris Martin Pacis Jacoba | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2020-06-05 |
| 1104303858 | Elite Bor-shavit | Ophthalmology | 479 Old Union Tpke, Lancaster, MA 01523 | 2018-07-25 |
| 1861979528 | Siamak Shokrollahi | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5394 | 2018-07-25 |
| 1497241962 | Omar Mohammed Abdelal | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2018-07-07 |
| 1982126769 | Mohamed Ashraf Elmasry | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2017-07-12 |
| 1205361763 | Alex Umali Pisig | Ophthalmology | One Joslin Place, Beetham Eye Institute, Joslin Diabetes Center, Boston, MA 02215 | 2017-04-21 |
| 1194957803 | S. Charles Khani, M.d. Phd, P.C. | Ophthalmology | 900 Cummings Ctr, Suite 308v, Beverly, MA 01915-6198 | 2009-08-13 |
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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.