NICHOLAS D GOTTSHALL


Address: 330 Mount Auburn St, Cambridge, MA 02138-5502
Phone: 6174923500

NICHOLAS D GOTTSHALL (NPI# 1043833221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043833221
Entity Type Individual
Full Name NICHOLAS D GOTTSHALL
Practice Address 330 Mount Auburn St
Cambridge
MA 02138-5502
Mailing Address 220 North St
North Reading
MA 01864-1225
Practice Telephone 6174923500
Mailing Telephone 7817713837
Enumeration Date 2020-05-22
Last Update Date 2020-05-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA7521 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 330 MOUNT AUBURN ST
City CAMBRIDGE
State MA
Zip Code 02138-5502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407859762 Susan A Abookire Internal Medicine 330 Mount Auburn St, Cambridge, MA 02138-5502 2005-05-31
1013515279 Alaaeldin Ahmed Student in an Organized Health Care Education/Training Program 330 Mount Auburn St, Cambridge, MA 02138-5597 2020-10-10
1447863618 Omar Hamzeh Al Omari Internal Medicine 330 Mount Auburn St, Cambridge, MA 02138-5502 2020-08-27
1881217263 Claire C Alexanian Student in an Organized Health Care Education/Training Program 330 Mount Auburn St, Cambridge, MA 02138-5597 2020-05-20
1689297087 Arun Cumpelik Student in an Organized Health Care Education/Training Program 330 Mount Auburn St, Cambridge, MA 02138-5502 2020-05-20
1104448125 Alireza Ghajar Student in an Organized Health Care Education/Training Program 330 Mount Auburn St, Cambridge, MA 02138-5502 2020-05-13
1902427768 Alexis Sholtis Social Worker 330 Mount Auburn St, Cambridge, MA 02138-5502 2020-05-04
1043839814 Max Joseph Wallack Student in an Organized Health Care Education/Training Program 330 Mount Auburn St, Cambridge, MA 02138-5502 2020-04-13
1821617010 Hezha Seradji Aghdam Student in an Organized Health Care Education/Training Program 330 Mount Auburn St, Cambridge, MA 02138-5502 2020-04-09
1306465315 Abdullah Melhim Student in an Organized Health Care Education/Training Program 330 Mount Auburn St, Cambridge, MA 02138-5502 2020-04-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922618610 Khushboo Vijay Bhatia Student in an Organized Health Care Education/Training Program Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 2020-08-06
1780204156 Ashna Grover Student in an Organized Health Care Education/Training Program 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 2020-04-25
1790330298 Cambridge Periodontics LLC Dentist 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 2019-08-02
1295389765 Yulia Levit Technician/Technologist 1208 Massachussets Av, Cambridge, MA 02138 2019-08-01
1720645393 Chinmay Tusharkumar Jani Student in an Organized Health Care Education/Training Program Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 2019-05-20
1386209831 Alexander Ryan Walker Internal Medicine 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 2019-05-09
1659844868 Aimee Hsieh Social Worker 525 Mount Auburn Street, Cambridge, MA 02138 2019-01-10
1043733389 Armida Fruzzetti Psychologist 900 Concord Avenue, Cambridge, MA 02138 2017-07-19
1174984827 Jenna Mezin Schmid Psychologist 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 2016-03-09
1316313208 Kelly Abbott Optometrist 12 Eliot St., Cambridge, MA 02138 2015-08-14
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043827058 Anupa Manjunatha Physician Assistant 33 Rogers St Apt 210, Cambridge, MA 02142-1516 2020-09-24
1083263594 Katherine Lemons Physician Assistant 6 Crawford St Apt 10, Cambridge, MA 02139-1644 2019-09-06
1790346674 Heather Ann Borden Physician Assistant 87 New St Unit 207, Cambridge, MA 02138-1287 2019-06-22
1902331408 Celia Alexandra Charlois Physician Assistant 169 Monsignor Obrien Hwy, Apt 805, Cambridge, MA 02141-1289 2017-04-22
1609244078 Shawna Young Physician Assistant 817 Main St N, Cambridge, MN 55008-1275 2015-09-02
1518304567 Samantha L Elich Physician Assistant 1435 Cambridge Street, Cambridge, MA 02139-1047 2013-05-31
1912239468 Jeffrey Eric Stark Physician Assistant 35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816-2618 2010-02-09
1902418411 Emily Grace Yanico Physician Assistant 1330 Clark St, Cambridge, OH 43725-9614 2020-08-18
1760029342 Christina Leahy Physician Assistant 1493 Cambridge St, Cambridge, MA 02139-1099 2019-12-03
1184261745 Julianne Grace James Physician Assistant 1515 Maple Dr, Cambridge, OH 43725-1162 2019-12-03
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Competitor

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City CAMBRIDGE
Zip Code 02138

Improve Information

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Dataset Information

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.

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