DR. LISA IANNATTONE (NPI# 1114442548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114442548 |
| Entity Type | Individual |
| Full Name | DR. LISA IANNATTONE |
| Credential | MD |
| Practice Address |
221 Longwood Ave Boston MA 02115-5804 |
| Mailing Address |
80 Fenwood Rd Unit 716 Boston MA 02115-6150 |
| Practice Telephone | 6175826060 |
| Mailing Telephone | 6175435493 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 271066 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
221 LONGWOOD AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748463 | Nikheel Shrinivas Kolatkar | Internal Medicine | 221 Longwood Ave, Boston, MA 02115-5804 | 2005-05-23 |
| 1962027805 | Cindy H Liu | Psychologist | 221 Longwood Ave, Boston, MA 02115-5817 | 2020-06-16 |
| 1184110652 | Victoria Ross Hasler | Psychologist | 221 Longwood Ave, Boston, MA 02115-5804 | 2018-07-07 |
| 1710471735 | Amanda Elizabeth Pierce | Physician Assistant | 221 Longwood Ave, Boston, MA 02115 | 2018-06-22 |
| 1972013282 | Shannon M Sorenson | Psychologist | 221 Longwood Ave, Boston, MA 02115-5804 | 2017-10-02 |
| 1598274508 | Kathleen Marion | Nurse Practitioner | 221 Longwood Ave, Boston, MA 02115-5804 | 2017-09-21 |
| 1285154674 | Theodora Pappa | Internal Medicine | 221 Longwood Ave, Boston, MA 02115-5817 | 2017-06-27 |
| 1326586496 | Jessica Morrow Lipschitz | Psychologist | 221 Longwood Ave, Boston, MA 02115-5804 | 2017-02-08 |
| 1841748837 | Kayla Liany Delvalle | Nurse Practitioner | 221 Longwood Ave, Room 381, Boston, MA 02115-5804 | 2016-09-19 |
| 1346692472 | Joanie Pinard | Dermatology | 221 Longwood Ave, Boston, MA 02115-5804 | 2016-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| 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.