DR. DEREK MATTHEW STEINBACHER (NPI# 1083687529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083687529 |
Entity Type | Individual |
Full Name | DR. DEREK MATTHEW STEINBACHER |
Credential | DMD MD |
Practice Address |
55 Fruit St Surg Hst Boston MA 02114-2621 |
Mailing Address |
Po Box 9142 Mass General Physician Organization Charlestown MA 02129-9142 |
Practice Telephone | 6177262066 |
Practice Fax Number | 6177243499 |
Mailing Telephone | 6177240287 |
Mailing Fax Number | 6177262894 |
Enumeration Date | 2006-02-07 |
Last Update Date | 2015-12-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
10263 | CT | Dental Providers |
N | 208600000X | Surgery | 20452 | MA | Allopathic & Osteopathic Physicians |
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
048790 | CT | Allopathic & Osteopathic Physicians |
Street Address |
55 FRUIT ST SURG HST |
City | BOSTON |
State | MA |
Zip Code | 02114-2621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568465888 | Michael A Nichols | Nurse Anesthetist, Certified Registered | 55 Fruit St, Boston, MA 02114-2696 | 2005-05-31 |
1740881374 | Katelyn Mary Bushey | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-11-02 |
1316546849 | Amy Lauren Greenblatt | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-26 |
1134728116 | Stephanie Qualls | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-21 |
1811596190 | Andrea S Hansen | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
1649879974 | Barbara Healy | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
1770181117 | Molly Cristina Reynolds | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-16 |
1245838325 | Katerina Eleni Kafkas | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-12 |
1578179040 | Vivian Ellen Donahue | Registered Nurse | 55 Fruit St, Boston, MA 02114-2696 | 2020-09-21 |
1699380956 | Joanne Gover | Registered Nurse | 55 Fruit St, Boston, MA 02114-2621 | 2020-09-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
Find all providers in zip 02114 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568584852 | Jeffrey H Lee | Surgery | 170 Commonwealth Avenue, St 112, Boston, MA 02116 | 2007-04-06 |
1013575091 | Jl Plastic Surgery, Inc. | Surgery | 170 Commonwealth Ave, Boston, MA 02116-2704 | 2019-06-04 |
1083176978 | Kimberly Khouri | Surgery | 75 Francis St, Boston, MA 02115-6110 | 2019-04-01 |
1568924389 | Tal Kaufman Goldberg | Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-04-01 |
1316421852 | Emma Peditto | Surgery | 110 Francis St Ste 5a, Boston, MA 02215-5566 | 2018-09-20 |
1902338460 | University of Virginia | Surgery | 15 Parkman St, Boston, MA 02114-3117 | 2017-04-03 |
1811339120 | Oren Ganor | Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2013-07-28 |
1902243579 | Eleanor Tomczyk | Surgery | 15 Parkman St, Wang 435, Boston, MA 02114-3117 | 2013-05-23 |
1902249634 | Daniel Michael Balkin | Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2013-04-11 |
1093060642 | Mohamed Amir Mrad | Surgery | 55 Fruit St, Department of Plastic Surgery, Boston, MA 02114-2621 | 2012-07-19 |
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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.