BRECKON DANIEL PAV (NPI# 1033431358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033431358 |
Entity Type | Individual |
Full Name | BRECKON DANIEL PAV |
Credential | M.D. |
Practice Address |
2100 Dorchester Ave Dorchester MA 02124 |
Mailing Address |
2100 Dorchester Ave Dorchester MA 02124-5666 |
Practice Telephone | 6172964000 |
Enumeration Date | 2010-03-01 |
Last Update Date | 2018-07-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 273890 | MA | Allopathic & Osteopathic Physicians |
N | 207P00000X | Emergency Medicine | 2012-00076 | NC | Allopathic & Osteopathic Physicians |
N | 207P00000X | Emergency Medicine | ME111129 | FL | Allopathic & Osteopathic Physicians |
Street Address |
2100 DORCHESTER AVE |
City | DORCHESTER |
State | MA |
Zip Code | 02124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457965998 | Linda Aguiar | Nurse Practitioner | 2100 Dorchester Ave, Dorchester, MA 02124-5666 | 2020-09-02 |
1306459128 | Ahmed Elsabbagh | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-08-31 |
1184233777 | Joseph Sarhan | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-07-29 |
1972121879 | Ashley Alexander | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-07-08 |
1699393785 | Fnu Sameeullah | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-07-06 |
1508483033 | Chinonso Nduaguba | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5666 | 2020-06-30 |
1760009583 | Harumi Esther Tokashiki Molina | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-06-26 |
1174140172 | Dennis Dwan | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-06-25 |
1073139176 | Emeka Agudile | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-06-24 |
1801412077 | Zachary James Carroll | Physical Therapist | 2100 Dorchester Ave, Dorchester, MA 02124-5666 | 2020-06-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
Find all providers in zip 02124 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679732317 | Joshua Steven Hundert | Emergency Medicine | 2100 Dorchester Ave Ste 2204, Dorchester, MA 02124-5615 | 2008-06-07 |
1265810782 | Ryan O'hara | Emergency Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2015-05-16 |
1740620426 | Swati Reddy Dhanireddy | Emergency Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2013-06-26 |
1396056826 | Serena Jiddou | Emergency Medicine | 2100 Dorchester Ave, Dorchester, MA 02124 | 2010-06-30 |
1972561462 | Steven Bellin | Emergency Medicine | 2100 Dorchester Ave, Dorchester, MA 02124 | 2006-05-03 |
1235197732 | Leslie Cioffi | Emergency Medicine | 2100 Dorchester Ave, Dorchester, MA 02124 | 2006-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255931937 | Skylight Health Group Ma PC | Emergency Medicine | 49 River St Ste 4, Waltham, MA 02453-8345 | 2020-10-30 |
1417508284 | Nuch of Massachusetts, LLC | Emergency Medicine | 81 Gold Star Blvd Ste 1, Worcester, MA 01606-2813 | 2019-09-24 |
1518523810 | Center for Vein Restoration Ma LLC | Emergency Medicine | 3640 Main St Ste 302, Springfield, MA 01107-1134 | 2019-05-13 |
1629555842 | Dispatchhealth Massachusetts PC | Emergency Medicine | 123 Park Ave, West Springfield, MA 01089-3337 | 2018-07-20 |
1366947954 | Karrin Weisenthal | Emergency Medicine | 1 Boston Pl Rm 1322, Boston, MA 02108 | 2018-03-27 |
1942705884 | Jillian Britt Duffy | Emergency Medicine | 1 Boston Medical Ctr Pl Rm 1322, Boston, MA 02118 | 2018-03-23 |
1316464621 | Katelyn Anne Brightman | Emergency Medicine | 30 Florence St, Somerville, MA 02145-4307 | 2017-08-28 |
1245760024 | Nicholas D. Kurtzman | Emergency Medicine | One Deaconess Road Rosenberg Building, 2nd Floor, Department of Emergency Medicine, Boston, MA 02215 | 2017-06-14 |
1821528746 | Daniel Lapidus | Emergency Medicine | 1963 Commonwealth Ave, Brighton, MA 02135-5937 | 2017-06-13 |
1942730007 | Alec John Koffer | Emergency Medicine | 1 Deaconess Rd Bldg 2nd, Boston, MA 02215-5321 | 2017-06-12 |
Find all providers with the same taxonomy |
City | DORCHESTER |
Zip Code | 02124 |
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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.