PEDIATRIC HOUSE CALL PC (NPI# 1134189889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134189889 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC HOUSE CALL PC |
| Practice Address |
56 Winchester St Ste 5 Newton MA 02461-1730 |
| Practice Telephone | 6179165085 |
| Practice Fax Number | 6179165105 |
| Mailing Telephone | 6179165085 |
| Mailing Fax Number | 6179165105 |
| Enumeration Date | 2006-03-26 |
| Last Update Date | 2009-04-29 |
| Authorized Official Name | DR. IGOR STAVITSKY (OWNER) |
| Authorized Official Telephone | 6179165085 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 77664 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3154882 | 05 | |
| MA | A292941 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PEDIATRIC HOUSE CALL PC | 996 Walnut St., Newton, MA 02461 |
| Street Address |
56 WINCHESTER ST STE 5 |
| City | NEWTON |
| State | MA |
| Zip Code | 02461-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053800151 | Robbie W. Christler Tourse | Social Worker | 3 Cannon West, Newton, MA 02461 | 2018-05-03 |
| 1316228992 | Melissa Ann Saris | Nurse Practitioner | 978 Boylston Street, Cvs Minute Clinic, Newton, MA 02461 | 2011-09-08 |
| 1427264324 | Sara Rita Falk | Social Worker | 39 Wallace Street, Newton Highlands, MA 02461 | 2007-05-15 |
| 1083838973 | Rhonda E Van Buren | Dental Hygienist | 25 Needham Street, Newton, MA 02461 | 2007-04-12 |
| 1649394271 | Ann L Plater | Social Worker | 65 Duncklee St, Newton, MA 02461 | 2007-03-19 |
| 1184750267 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 88 Needham St, Newton, MA 02461 | 2007-02-26 |
| 1639212038 | Arthur A Sasahara | Internal Medicine | The Courtyard #12, 1115 Beacon Street, Newton, MA 02461 | 2007-02-15 |
| 1760541957 | Joan Green | Counselor | 34 Lincoln Street, Newton Highlands, MA 02461 | 2006-12-06 |
| 1861568917 | Andrew David Aspel | Psychologist | 1163 Walnut St 10, Newton Highlands, MA 02461 | 2006-11-28 |
| 1356368229 | Jonathan Stuart Bamel | Dentist | 64 Columbus St, North Highlands, MA 02461 | 2006-07-16 |
| Find all providers in zip 02461 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386099638 | Lauren Zeitler | Specialist | 61 Wendell Rd, Newton, MA 02459-2650 | 2016-04-24 |
| 1790141836 | Jennifer Labonte | Specialist | 154 Langley Rd, Newton, MA 02459-2056 | 2016-01-05 |
| 1740443712 | Thomas E Jessen Md PC | Specialist | 300 N 4th Ave E Ste 140a, Newton, IA 50208-3122 | 2008-07-09 |
| 1659586659 | Dorothy L. Norcross | Specialist | 25 Fisher Ave, Newton, MA 02461-1142 | 2007-05-11 |
| 1710909932 | Karin A O'brien | Specialist | 10 Langley Rd Suite 300, Newton, MA 02459-1972 | 2006-07-24 |
| 1548236722 | Leonard Charles Marcus | Specialist | 1555 Commonwealth Ave, Newton, MA 02465-2800 | 2006-02-27 |
| 1699751917 | Louis O Pupo | Specialist | 61 Newton Sparta Road, Newton, NJ 07860 | 2005-12-19 |
| 1326029166 | Jeffrey Brian Mendel | Specialist | 180 Otis Street, Newton, MA 02465-2524 | 2005-11-09 |
| 1114915543 | Geeta Sehgal | Specialist | 179 High St, Newton, NJ 07860-1010 | 2005-10-10 |
| 1427055003 | Gary Lee Richardson | Specialist | 300 N. 4th Ave. E., Suite 150, Newton, IA 50208-3137 | 2005-06-28 |
| Find all providers in NEWTON | ||||
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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.