NIDHA P. MATTAPPALLY (NPI# 1063807600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063807600 |
| Entity Type | Individual |
| Full Name | NIDHA P. MATTAPPALLY |
| Credential | M.D. |
| Practice Address |
Lahey Hospital and Medical Center 41 Mall Road Burlington MA 01805 |
| Mailing Address |
Lahey Hospital and Medical Center 41 Mall Road Burlington MA 01805-0001 |
| Practice Telephone | 7817448560 |
| Practice Fax Number | 7817445398 |
| Mailing Telephone | 7817448560 |
| Mailing Fax Number | 7817445398 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2019-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 263545 | MA | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
278055 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 119 Belmont St, Worcester, MA 016052903 | 5083341000 |
| Street Address |
LAHEY HOSPITAL AND MEDICAL CENTER 41 MALL ROAD |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
| 1770059248 | Melissa Ann Ayer | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2018-10-22 |
| 1710461884 | Marina Cecilia Anastopoulos | Physician Assistant | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2018-09-24 |
| 1952882375 | Kimberlyn Austin | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2018-08-23 |
| 1972003366 | Nathan Haywood Hartwell | Pharmacist | Lahey Hospital and Medical Center, 41 Burlington Mall Rd, Burlington, MA 01805-0180 | 2018-02-13 |
| 1043718612 | Simple Mehmi | Registered Nurse | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2018-01-29 |
| 1154850402 | Marc Patrick Baker-bourgeois | Nurse Anesthetist, Certified Registered | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2017-06-09 |
| 1407383136 | Rojer Ranjit | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2017-05-12 |
| 1548704398 | Stephanie Louise Hansen | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2016-12-13 |
| 1851846687 | Ashley Brisebois | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
| 1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
| 1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
| 1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
| 1770588923 | Gene Wong | Radiology | 41 Mall Rd, Burlington, MA 01805 | 2005-06-15 |
| Find all providers in zip 01805 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558318873 | Mahmood A Niaraki | Obstetrics & Gynecology | 20 Wall Street, Harvard Vanguard Medical Associates, Burlington, MA 01803 | 2006-05-30 |
| 1598129967 | Savita Milind Joglekar | Obstetrics & Gynecology | 41 Mall Rd, Burlington, MA 01805-9032 | 2016-04-11 |
| 1073976445 | Victoria Eugenia Guerrero Gorman | Obstetrics & Gynecology | 1900 Mount Holly Rd, Burlington, NJ 08016-4722 | 2016-04-01 |
| 1376981241 | Christina Maria Johnson | Obstetrics & Gynecology | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2013-06-12 |
| 1861784027 | Ambareen Gul Jan | Obstetrics & Gynecology | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2011-05-06 |
| 1396035127 | Harneet Gujral | Obstetrics & Gynecology | 41 Mall Rd, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2011-04-13 |
| 1598909269 | Alison Blair Vogell | Obstetrics & Gynecology | 41 Mall Rd, Lahey Clinic, Burlington, MA 01805-0001 | 2009-04-26 |
| 1932390051 | Kelly N. Wright | Obstetrics & Gynecology | 41 Mall Rd, Lahey Clinic, Burlington, MA 01805-0001 | 2007-08-05 |
| 1699830323 | Mary Hoyt Briggs | Obstetrics & Gynecology | 41 Mall Rd, Lahey Clinic, Burlington, MA 01803-4136 | 2006-12-22 |
| 1407915861 | Joseph Kindall Hurd Jr. | Obstetrics & Gynecology | 41 Mall Rd, Burlington, MA 01805-0003 | 2006-12-08 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01805 |
Please comment or provide details below to improve the information on NIDHA P. MATTAPPALLY.
| 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.