DR. MAXWELL BENJAMIN SAUDER (NPI# 1093172918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093172918 |
| Entity Type | Individual |
| Full Name | DR. MAXWELL BENJAMIN SAUDER |
| Credential | M.D. |
| Practice Address |
450 Brookline Ave Lw503 Boston MA 02215-5418 |
| Practice Telephone | 6176326571 |
| Practice Fax Number | 6176326727 |
| Mailing Telephone | 6176326571 |
| Mailing Fax Number | 6176326727 |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2017-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 266239 | MA | Allopathic & Osteopathic Physicians |
| N | 261QV0200X |
Clinic/Center Specialization: VA |
266236 | MA | Ambulatory Health Care Facilities |
| Street Address |
450 BROOKLINE AVE LW503 |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172149 | Osama E. Rahma | Internal Medicine | 450 Brookline Ave, Dana-farber Cancer Institute, Boston, MA 02215-5418 | 2005-08-31 |
| 1508472465 | Joanna Mercado | Genetic Counselor, MS | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-09-16 |
| 1588277917 | Gertrude Andre | Registered Nurse | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-08-25 |
| 1396355814 | Chaiyapruk Phantumvanit | Pharmacist | 450 Brookline Ave, Boston, MA 02215-5450 | 2020-08-10 |
| 1689284465 | Jennifer Anne Falb | Nurse Practitioner | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-08-05 |
| 1245840628 | Kathrine Fleming | Nurse Practitioner | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-07-31 |
| 1205454642 | Arianna Gabriella Maida | Physician Assistant | 450 Brookline Ave, Boston, MA 02215-5450 | 2020-07-13 |
| 1326663964 | Tsz-yi Wendy Chen | Pharmacist | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-06-09 |
| 1891315354 | Sarah Studley | Nurse Practitioner | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-04-24 |
| 1447889902 | Jessie Margaret Brain | Student in an Organized Health Care Education/Training Program | 450 Brookline Ave, Boston, MA 02215-5418 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902329832 | Abeer Alsarheed | Dermatology | 30 Dalton St Apt 1510, Boston, MA 02115-3178 | 2017-07-23 |
| 1811343361 | Neera Nathan | Dermatology | 50 Staniford St Fl 2, Boston, MA 02114-2517 | 2016-05-13 |
| 1619359320 | Freya Meyer | Dermatology | 441 Stuart St Fl 4, Boston, MA 02116-5027 | 2015-06-18 |
| 1952716177 | Anna Kurayev | Dermatology | 260 Tremont Street, Biewend Bld., 14th Floor, Dermatology Department, Boston, MA 02116 | 2014-06-26 |
| 1245640705 | Chao Hui Yang | Dermatology | 221 Longwood Ave Dept Of, Boston, MA 02115-5817 | 2014-05-05 |
| 1508208505 | Yevgeniy Romanovich Semenov | Dermatology | Massachusetts General Hospital - Dept of Dermatology, 55 Fruit Street, Boston, MA 02114 | 2013-07-19 |
| 1821354648 | Tarannum Jaleel | Dermatology | 72 East Concord Street, Evans Suite 124, Boston, MA 02118-2307 | 2012-04-05 |
| 1881915148 | Lisa Yao Shen | Dermatology | 725 Albany St # 8b, Boston, MA 02118-2526 | 2010-06-21 |
| 1356662373 | David Michael Miller | Dermatology | 50 Staniford St Ste 200, Boston, MA 02114-2543 | 2010-06-14 |
| 1376779819 | Yakir Levin | Dermatology | 50 Staniford St Ste 250, Boston, MA 02114-2517 | 2009-06-10 |
| Find all providers in BOSTON | ||||
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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.