DEANA MARIE THEROUX (NPI# 1134200033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134200033 |
| Entity Type | Individual |
| Full Name | DEANA MARIE THEROUX |
| Credential | MD |
| Practice Address |
795 Middle St Fall River MA 02721-1733 |
| Practice Telephone | 5082355285 |
| Practice Fax Number | 5086786905 |
| Mailing Telephone | 5082355285 |
| Mailing Fax Number | 5086786905 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2009-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 2003-00716 | NC | Allopathic & Osteopathic Physicians |
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
235054 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891347G | 05 |
| Street Address |
795 MIDDLE ST |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02721-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661540 | Leonid Gershman | Anesthesiology | 795 Middle St, Fall River, MA 02721-1733 | 2005-07-06 |
| 1598305856 | Autumn Makowski | Dietitian, Registered | 795 Middle St, Fall River, MA 02721-1798 | 2020-01-14 |
| 1306481270 | Lauren Theresa Stanley | Physician Assistant | 795 Middle St, Fall River, MA 02721-1733 | 2019-11-14 |
| 1346883345 | Kristin Cabral | Nurse Practitioner | 795 Middle St, Fall River, MA 02721-1798 | 2019-10-22 |
| 1164076899 | Julia Margaret Sylvia | Nurse Practitioner | 795 Middle St, Fall River, MA 02721-1733 | 2019-07-31 |
| 1811549231 | Kerry Maccini | Emergency Medicine | 795 Middle St, Fall River, MA 02721-1798 | 2019-07-15 |
| 1043871064 | Courtney L Faiola | Dietitian, Registered | 795 Middle St, Fall River, MA 02721-1733 | 2019-06-21 |
| 1740774090 | Danielle Leigh Capece | Physician Assistant | 795 Middle St, Fall River, MA 02721 | 2018-06-20 |
| 1982192613 | Rebecca Frias | Social Worker | 795 Middle St, Fall River, MA 02721-1733 | 2018-04-27 |
| 1043711914 | Steward Medical Group, Inc | Nurse Anesthetist, Certified Registered | 795 Middle St, Fall River, MA 02721-1733 | 2018-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139703 | Ervin Pejo | Dentist | 824 William S Canning Blvd A, Fall River, MA 02721 | 2020-09-18 |
| 1316561814 | Sravanthi Tapal | Dentist | 45 Mariano South, Mariano Bishop Blvd, Fallriver, MA 02721 | 2020-06-01 |
| 1447808811 | Guilbert Maria | Dentist | 45 Mariano South, Mariano Bishop Blvd, Fall River, MA 02721 | 2019-08-29 |
| 1619466638 | Alpha Dental Center, P.c | Dentist | 516 Newton St., Fall River, MA 02721 | 2018-05-04 |
| 1083987374 | Fall River Dental Center | Dentist | 516 Newton St, Fall River, MA 02721 | 2012-02-16 |
| 1033489109 | Phoenix Psychiatric Services | Clinic/Center | 101 Jeremiah Sullivan Dr, Fall River, MA 02721 | 2012-01-06 |
| 1619271491 | Amanda Leigh Sims | Student in an Organized Health Care Education/Training Program | 1575 North Main Street, Fall River, MA 02721 | 2011-01-07 |
| 1346481280 | Paul Ongulo | Counselor | 170 Pleasant Street, Fall River, MA 02721 | 2009-03-23 |
| 1508020439 | Dental Dreams LLC | Dentist | 45 Mariano South Bishop Blvd, Fall River, MA 02721 | 2008-07-10 |
| 1174793244 | Joan P Riley | Social Worker | 700 Shore Dr Unit 605, Fall River, MA 02721 | 2008-03-05 |
| Find all providers in zip 02721 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396894861 | Laine Beth Carter | Pediatrics | 1563 N Main St, Suite 208, Fall River, MA 02720 | 2007-01-10 |
| 1326148354 | Jeannine R Audet | Pediatrics | 795 Middle St, Fall River, MA 02721-1733 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518455021 | Taylor K. Baker | Pediatrics | 12 Ridge Rd, Foxborough, MA 02035-1400 | 2018-04-30 |
| 1285018911 | Amel Alawami | Pediatrics | 800 Washington St # 334, Boston, MA 02111-1552 | 2015-07-13 |
| 1235541152 | Naomi Bloom Gershon | Pediatrics | 100 High St Ste 200, Westwood, MA 02090-1100 | 2014-05-27 |
| 1831225424 | Ramzi H Nasir | Pediatrics | Children's Hospital, Gen'l Pediatrics, 300 Longwood Ave., Boston, MA 02115 | 2007-02-26 |
| 1972667103 | Winifred B Parker | Pediatrics | 20 Lincoln Rd, Wayland, MA 01778-1302 | 2006-12-21 |
| 1083787634 | William Austin Haffner Sammons | Pediatrics | 84 Moorland St, Williamstown, MA 01267-2410 | 2006-11-15 |
| 1831284041 | Daniel Nussbaum II | Pediatrics | 5 Dover St, Suite 103, New Bedford, MA 02740-6258 | 2006-10-04 |
| 1962416461 | Dennis J Rosen | Pediatrics | 157 Columbia Drive, Amherst, MA 01002 | 2006-07-28 |
| 1417996273 | Laurel Kristin Leslie | Pediatrics | 800 Washington St # Mc345, Tufts Medical Center Floating Hospital for Children, Boston, MA 02111-1552 | 2006-06-06 |
| 1659328433 | Marcel Kinsbourne | Pediatrics | 158 Cambridge St, Winchester, MA 01890-2414 | 2006-05-27 |
| Find all providers with the same taxonomy | ||||
| City | FALL RIVER |
| Zip Code | 02721 |
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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.