DAVID MARC BLAUSTEIN (NPI# 1104811900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104811900 |
| Entity Type | Individual |
| Full Name | DAVID MARC BLAUSTEIN |
| Credential | MD |
| Practice Address |
1400 Vfw Parkway Va Boston Healthcare System West Roxbury MA 02132 |
| Practice Telephone | 8572036931 |
| Practice Fax Number | 8572035680 |
| Mailing Telephone | 8572036931 |
| Mailing Fax Number | 8572035680 |
| Enumeration Date | 2005-09-18 |
| Last Update Date | 2019-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 78218 | MA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 78218 | MA | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
78218 | MA | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
78218 | MA | Allopathic & Osteopathic Physicians |
| N | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
78218 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760516322 | David A Blaustein | Dentist | 415 W 23rd St, Suite 1b, New York, NY 10011-1454 | 2007-03-15 |
| Street Address |
1400 VFW PARKWAY VA BOSTON HEALTHCARE SYSTEM |
| City | WEST ROXBURY |
| State | MA |
| Zip Code | 02132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659895126 | Elana Katz | Speech-Language Pathologist | 1400 Vfw Parkway, Speech Pathology, West Roxbury, MA 02132 | 2017-07-27 |
| 1750720892 | Sarah Drosdik Pelletier | Nurse Practitioner | 1400 Vfw Parkway, West Roxbury, MA 02132 | 2013-06-21 |
| 1356686091 | Sarah Kelley White | Nurse Practitioner | 1400 Vfw Parkway, Va Boston Healthcare System, West Roxbury, MA 02132 | 2012-12-06 |
| 1932494317 | Noah M Whiddon | Social Worker | 1400 Vfw Parkway, West Roxbury, MA 02132 | 2011-06-14 |
| 1578856241 | Gordon M. Burke | Internal Medicine | 1400 Vfw Parkway, Cardiology Section 111ca, West Roxbury, MA 02132 | 2011-05-27 |
| 1982915955 | Kathleen Killilea | Anesthesiology | 1400 Vfw Parkway, Va Boston Healthcare, West Roxbury, MA 02132 | 2010-06-24 |
| 1558525253 | Ervin Andrei Jakab | Anesthesiology | 1400 Vfw Parkway, Department of Anesthesiology, West Roxbury, MA 02132 | 2008-07-11 |
| 1356513410 | Elizabeth Sandman Norian | Internal Medicine | 1400 Vfw Parkway, West Roxbury, MA 02132 | 2008-03-28 |
| 1306930995 | Peter Berry | Pharmacist | 1400 Vfw Parkway, West Roxbury, MA 02132 | 2006-10-03 |
| 1497849830 | Stephen G. Gerzof | Radiology | 1400 Vfw Parkway, West Roxbury, MA 02132 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992299663 | Ashley Monteiro | Counselor | 15 Elgin St, West Roxbury, MA 02132 | 2018-06-18 |
| 1033639943 | Nahed Lakkis | Dentist | 80 New Haven St, West Roxbury, MA 02132 | 2017-06-21 |
| 1053780692 | Yanpeng Ding | Optometrist | 2034a Centre St, West Roxbury, MA 02132 | 2015-09-24 |
| 1013303437 | Alaa Alrababa I | Dentist | 125 Edgemere Road, 202, West Roxbury, MA 02132 | 2015-04-13 |
| 1023426483 | Kearstin F. Thomas D.m.d.,pc | Dentist | 2075 Centre Street, West Roxbury, MA 02132 | 2014-07-30 |
| 1003226630 | Beyond Independent Living LLC | Case Management | 1208b Vfw Parkway, Suite 301, Boston, MA 02132 | 2014-05-05 |
| 1780920223 | Kysa Christie | Psychologist | 1400 Vfw Parkway (sci 128), West Roxbury, MA 02132 | 2013-01-02 |
| 1629324652 | Mohamed Al-janabi | Dentist | 250 Spring St, Apt 18, West Roxbury, MA 02132 | 2012-07-27 |
| 1265704787 | Ronda Denise Jones | Case Manager/Care Coordinator | 2077 Centre Street, West Roxbury, MA 02132 | 2012-01-30 |
| 1306123419 | Hung Doan | Pharmacist | 1065 Truman Highway, Hyde Park, MA 02132 | 2011-11-03 |
| Find all providers in zip 02132 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720090228 | Ellen H Zhan | Neuromusculoskeletal Medicine, Sports Medicine | 1400 Vfw Pkwy, Sci Service, West Roxbury, MA 02132-4927 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720544364 | Bridget Looney | Neuromusculoskeletal Medicine, Sports Medicine | 6204 Inwood Dr, Woburn, MA 01801-5152 | 2019-02-19 |
| 1891945366 | Chiawen Liang | Neuromusculoskeletal Medicine, Sports Medicine | 332 Washington St Ste 260, Wellesley, MA 02481-6204 | 2008-09-22 |
| 1487738084 | Eng Hwi Kwa | Neuromusculoskeletal Medicine, Sports Medicine | 126 Commonwealth Ave, Dedham, MA 02026 | 2006-10-24 |
| 1780786087 | Demosthenes D Dasco | Neuromusculoskeletal Medicine, Sports Medicine | 160 Englewood Rd, Longmeadow, MA 01106-1335 | 2006-09-05 |
| 1669588372 | Medigroup PC | Neuromusculoskeletal Medicine, Sports Medicine | 4 Frank Leary Way, Randolph, MA 02368-4512 | 2006-08-23 |
| 1659349462 | Excel Orthopedic Specialists Inc | Neuromusculoskeletal Medicine, Sports Medicine | 200 Unicorn Park Dr, Suite 201, Woburn, MA 01801 | 2006-03-08 |
| 1669445243 | Walter G Stanwood | Neuromusculoskeletal Medicine, Sports Medicine | 41 Resnik Rd, Plymouth, MA 02360-4842 | 2006-02-13 |
| 1750361150 | Debra A Twehous | Neuromusculoskeletal Medicine, Sports Medicine | 189 May Street, Worcester, MA 01602-4339 | 2006-01-20 |
| 1629050547 | Julie Curtis | Neuromusculoskeletal Medicine, Sports Medicine | 54 Black Burnian Rd, Weston, MA 02493-1321 | 2005-11-16 |
| 1184614414 | Agnes Virga | Neuromusculoskeletal Medicine, Sports Medicine | 411 Mass Ave, Acton, MA 01720-3739 | 2005-10-27 |
| Find all providers with the same taxonomy | ||||
| City | WEST ROXBURY |
| Zip Code | 02132 |
Please comment or provide details below to improve the information on DAVID MARC BLAUSTEIN.
| 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.