ANDREW J. DADAGIAN, M.D., INC. (NPI# 1104947480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104947480 |
| Entity Type | Organization |
| Organization Name | ANDREW J. DADAGIAN, M.D., INC. |
| Practice Address |
225 Field St New Bedford MA 02740-2134 |
| Practice Telephone | 5089912500 |
| Mailing Telephone | 5089912500 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-05-09 |
| Authorized Official Name | DR. ANDREW J DADAGIAN (PRESIDENT) |
| Authorized Official Telephone | 5089912500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
30374 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | UNITED HEALTHCARE | 10-01021 | 01 |
| MA | CIGNA | 6664294003 | 01 |
| MA | HARVARD PILGRIM | 19008 | 01 |
| MA | 9722114 | 05 | |
| MA | AETNA | 0093865 | 01 |
| MA | TUFTS | 707158 | 01 |
| MA | BLUE CROSS BLUE SHIELD MASSACHUSETTS PIN | K02058 | 01 |
| Street Address |
225 FIELD ST |
| City | NEW BEDFORD |
| State | MA |
| Zip Code | 02740-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023003688 | Sandra C Dacosta | Nurse Practitioner | 225 Field St, New Bedford, MA 02740-2134 | 2005-09-20 |
| 1306477443 | Erin J Senay | Nurse Practitioner | 225 Field St, New Bedford, MA 02740-2134 | 2020-01-28 |
| 1134777048 | Pediatric Associates of New Bedford, Inc | Pediatrics | 225 Field St, New Bedford, MA 02740-2134 | 2019-09-04 |
| 1174182729 | Olivia G Herndon | Pediatrics | 225 Field St, New Bedford, MA 02740-2134 | 2019-06-07 |
| 1750858999 | Julia Lynn Balkema | Nurse Practitioner | 225 Field St, New Bedford, MA 02740-2134 | 2018-10-25 |
| 1730377805 | Gulnur Harisovna Brule | Pediatrics | 225 Field St, New Bedford, MA 02740-2134 | 2007-10-13 |
| 1942498555 | Lori Beth Kasher | Nurse Practitioner | 225 Field St, New Bedford, MA 02740-2134 | 2007-10-09 |
| 1558441253 | Pediatric Associates of New Bedford, Inc | Pediatrics | 225 Field St, New Bedford, MA 02740-2134 | 2006-10-17 |
| 1134140460 | Kveta Vojkovska | Pediatrics | 225 Field St, New Bedford, MA 02740-2134 | 2006-07-21 |
| 1447299433 | Andrew J Dadagian | Otolaryngology | 225 Field St, New Bedford, MA 02740-2134 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294019 | Jacqueline Maye | Homemaker | 167 North Street, New Bedford, MA 02740 | 2020-04-27 |
| 1467095810 | Siere Jennifer Alkee | Psychiatry & Neurology | 68 N.front St, New Bedford, MA 02740 | 2019-10-17 |
| 1285282285 | Michelle Marie Montella | Counselor | 5 Dover St., New Bedford, MA 02740 | 2019-09-03 |
| 1891349460 | Carla E Fernandes | Counselor | 89 Pleasant Street, Apt 2, New Bedford, MA 02740 | 2019-07-31 |
| 1881156446 | Rachael Nylin | Health Educator | 128 Union St, Ste 204, New Bedford, MA 02740 | 2019-04-03 |
| 1194207563 | Wendy Anne Pacheco | Social Worker | 179 William Street, New Bedford, MA 02740 | 2018-09-03 |
| 1972085306 | Clear Coast Dental Pllc | Dentist | 906 Hathaway Road, New Bedford, MA 02740 | 2018-09-01 |
| 1538646617 | Derek Baptiste | Counselor | 68 N. Front St, New Bedford, MA 02740 | 2018-07-23 |
| 1316439227 | Savanna Alexandrea Jones | Social Worker | 543 North St., New Bedford, MA 02740 | 2018-06-06 |
| 1265940860 | My Dental New Bedford | Clinic/Center | 770 Purchase St, New Bedford, MA 02740 | 2018-01-17 |
| Find all providers in zip 02740 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730434614 | Jeannie H Chung Md PC | Otolaryngology | 14 Jefferson Rd, Chestnut Hill, MA 02467-2312 | 2012-07-17 |
| 1083606016 | Anna E. Petropoulos | Otolaryngology | 80 Lindall St, Danvers, MA 01923-2135 | 2005-08-16 |
| 1164867479 | Derosa Facial Plastic Surgery PC | Otolaryngology | 91 Newbury St, Suite 300, Boston, MA 02116-3084 | 2013-05-01 |
| 1184858532 | Beacon Facial Plastic Surgery, LLC | Otolaryngology | 15 Dix St, Suite G, Winchester, MA 01890-1870 | 2009-05-13 |
| 1366618464 | Linda Nancy Lee | Otolaryngology | 230 Worcester St, Wellesley, MA 02481-5420 | 2008-05-08 |
| 1770610909 | Jeannie Hye-joon Chung | Otolaryngology | 107 Highland Ave, Salem, MA 01970-2721 | 2007-02-27 |
| 1174577928 | Alex Grilli | Otolaryngology | 500 Congress St, Quincy, MA 02169-0908 | 2006-05-19 |
| 1588626204 | John R Stram | Otolaryngology | 830 Harrison Ave, Suite 1400, Boston, MA 02118-2905 | 2006-04-06 |
| 1104817170 | Derrick T. Lin | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2005-10-31 |
| City | NEW BEDFORD |
| Zip Code | 02740 |
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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.