SUSAN B WEAVER (NPI# 1073569273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073569273 |
| Entity Type | Individual |
| Full Name | SUSAN B WEAVER |
| Credential | M.D. |
| Practice Address |
1611 Cambridge St Internal Medicine Cambridge MA 02138-4302 |
| Mailing Address |
147 Milk St Provider Enrollment - 9th Floor Boston MA 02109-4806 |
| Practice Telephone | 6176615100 |
| Practice Fax Number | 6176615226 |
| Mailing Telephone | 6175598374 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2011-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 227417 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2125811 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013498716 | Susan Abbott Weaver | Social Worker | 10 Sanctuary Lane, Hopkinton, MA 01748 | 2018-08-22 |
| 1962541854 | Susan E Weaver | Nurse Practitioner | 2020 S Norton Ave, Sioux Falls, SD 57105-2835 | 2007-02-06 |
| 1649324914 | Susan T Weaver | Internal Medicine | 3024 New Bern Ave Ste 300, Raleigh, NC 27610-1247 | 2007-01-23 |
| 1932554748 | Susan Weaver | Social Worker | 1744 Payne Ave, Cleveland, OH 44114-2910 | 2016-04-29 |
| 1114381639 | Susan Weaver | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2016-04-11 |
| 1295074094 | Susan Weaver | Nurse Practitioner | 1723 Broadway St Ste 410, Cape Girardeau, MO 63701-4556 | 2013-02-14 |
| 1568761799 | Susan P. Weaver | Social Worker | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 | 2011-03-28 |
| 1982921573 | Susan Anne Weaver | Occupational Therapist | 12265 James St, Holland, MI 49424-8613 | 2010-04-22 |
| 1306179619 | Susan Weaver | Physical Therapist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2009-09-18 |
| 1588713382 | Susan Lyn Weaver | Social Worker | 471 W South St, Ste. 41c, Kalamazoo, MI 49007-4678 | 2007-01-09 |
| Street Address |
1611 CAMBRIDGE ST INTERNAL MEDICINE |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598747412 | Margaret Rose Barsam | Pediatrics | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2005-11-16 |
| 1295218501 | Seema Mitesh Patel | Pharmacist | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2018-09-12 |
| 1104311737 | Maura Jean Dipietro | Registered Nurse | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2018-06-26 |
| 1841678299 | Atrius Health, Inc. | Chiropractor | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2015-05-18 |
| 1851725246 | Natalie Ann Briggs | Physical Therapist | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2013-08-21 |
| 1437494267 | Clarence Theodore Dennis | Nurse Practitioner | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2012-12-05 |
| 1043561616 | Bronwyn Kate Mastrangelo | Physician Assistant | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2012-09-24 |
| 1821347865 | Kathryn Marie Kahn | Registered Nurse | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2012-09-06 |
| 1316295801 | Jacqueline Marie Burke | Pharmacist | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2012-08-15 |
| 1821373671 | David Johnson | Nurse Practitioner | 1611 Cambridge St, Harvard Vanguard Medical Associates, Bh Dept., Cambridge, MA 02138-4302 | 2011-10-12 |
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| 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 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1578952255 | Christian Mewaldt | Internal Medicine | 90 Hancock St Apt 3, Cambridge, MA 02139 | 2015-01-17 |
| 1922413582 | Stephanie Johanna Mascia | Internal Medicine | 625 Mount Auburn St Ste 104, Cambridge, MA 02138-4518 | 2014-06-23 |
| 1770920217 | Judy Yee Kwok | Internal Medicine | 163 Gore Street, Cambridge, MA 02149-2420 | 2013-05-23 |
| 1063857969 | Jia Liu | Internal Medicine | 24 Lilac Ct, Cambridge, MA 02141-1912 | 2013-05-06 |
| 1891923199 | Nelson Kisob Aweh | Internal Medicine | 255 Garden St, Apt # 7, Cambridge, MA 02138-1256 | 2009-06-24 |
| 1326275017 | Anthony Andrew Philippakis | Internal Medicine | 53 Ellery St # 2, Cambridge, MA 02138-4230 | 2009-06-19 |
| 1386871317 | Elaine Hsieh | Internal Medicine | 141 Larch Road, Cambridge, MA 02138-0213 | 2009-06-17 |
| 1134372618 | Lisa Lynn Vonmoltke | Internal Medicine | 35 Landsdowne St, Cambridge, MA 02139-4232 | 2008-10-29 |
| 1447427117 | Andrew Marc Schutzbank | Internal Medicine | 240 Norfolk St, Cambridge, MA 02139-1423 | 2008-05-13 |
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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.