MICHAEL J ANDERSON (NPI# 1144201534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144201534 |
| Entity Type | Individual |
| Full Name | MICHAEL J ANDERSON |
| Credential | M.D. |
| Practice Address |
51 Performance Dr Suite 110 Weymouth MA 02189-3141 |
| Mailing Address |
10 Willard St Quincy MA 02169-1281 |
| Practice Telephone | 7813400735 |
| Practice Fax Number | 7813316355 |
| Mailing Telephone | 6174791452 |
| Mailing Fax Number | 6174793500 |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2014-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
53192 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH CARE | 715870 | 01 |
| MA | BLUE CROSS BLUE SHIELD | J09389 | 01 |
| MA | HARVARD PILGRIM | 4144821 | 01 |
| MA | CIGNA | 4144821 | 01 |
| MA | AETNA US HEALTH | 501499 | 01 |
| MA | 3063178 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374712 | Michael Richard Anderson | Clinic/Center | 2560 Hubbell Ave, Des Moines, IA 50317-6102 | 2020-07-23 |
| 1881234623 | Michael Anderson | Durable Medical Equipment & Medical Supplies | 1203 N Hobart St Ste 34, Pampa, TX 79065-4664 | 2020-01-09 |
| 1164920898 | Michael Anderson | Counselor | 502 Mccarty Ln Ste 5, Jackson, OH 45640-7025 | 2018-01-29 |
| 1609324789 | Michael Anderson | Counselor | 75 Heaton Dr, Covington, GA 30016-0224 | 2016-09-16 |
| 1629438437 | Michael Anderson | Counselor | 145 Yonker Street, Barbeton, OH 44203 | 2016-03-07 |
| 1124406186 | Michael A Anderson | Family Medicine | 1000 Pocatello Creek Rd Ste E10, Pocatello, ID 83201-2953 | 2015-05-11 |
| 1679971683 | Michael Anderson | Occupational Therapist | 355 Saddlebrook Cir, Lewisville, NC 27023-8213 | 2014-12-08 |
| 1881004877 | Michael Anderson | Anesthesiology | 2345 E Thomas Rd Ste 400, Phoenix, AZ 85016 | 2014-04-30 |
| 1467871517 | Michael Callum Anderson | Counselor | 1881 Ne 26th St Ste 70, Wilton Manors, FL 33305-1425 | 2014-04-15 |
| 1871911958 | Michael Anderson | Physical Therapist | 9909 Mira Mesa Blvd Ste 260, San Diego, CA 92131-1064 | 2014-04-04 |
| Street Address |
51 PERFORMANCE DR SUITE 110 |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02189-3141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821099110 | Shannon Dee Fullerton | Obstetrics & Gynecology | 51 Performance Dr, Entry 2, Weymouth, MA 02189-3141 | 2005-08-09 |
| 1043537400 | Kristin Elizabeth Gold | Obstetrics & Gynecology | 51 Performance Dr, Weymouth, MA 02189 | 2010-04-26 |
| 1437382447 | Kristen Dasilva Darland | Obstetrics & Gynecology | 51 Performance Dr, Weymouth, MA 02189 | 2009-08-25 |
| 1326282252 | South Shore Orthopedics LLC | Occupational Therapist | 51 Performance Dr, Weymouth, MA 02189-3141 | 2009-04-22 |
| 1699937524 | Harvard Vanguard Medical Associates | Radiology | 51 Performance Dr, Radiation Oncology, Weymouth, MA 02189-3104 | 2008-07-01 |
| 1407038177 | Physical Therapy Management, Inc. | Physical Therapist | 51 Performance Dr, Weymouth, MA 02189-3104 | 2007-12-04 |
| 1164601514 | Kimberly Y Willis | Nurse Practitioner | 51 Performance Dr, Weymouth, MA 02189-3104 | 2007-11-01 |
| 1972796050 | Arthur J. Bowman Jr Md PC | Orthopaedic Surgery | 51 Performance Dr, Suite 300, Weymouth, MA 02189-3104 | 2007-08-22 |
| 1356562573 | Lisa Gioni | Obstetrics & Gynecology | 51 Performance Dr, Weymouth, MA 02189-3141 | 2007-05-02 |
| 1730307588 | Benjamin Powell Christian | Plastic Surgery | 51 Performance Dr, Weymouth, MA 02189-3141 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205300985 | M. Taylor Fontneau | Nurse Practitioner | 90 Libbey Industrial Pkwy Ste 106, Weymouth, MA 02189 | 2019-01-16 |
| 1336668011 | Svetlana Chentsova | Nurse Practitioner | 51 Performance Dr Fl Drive, Weymouth, MA 02189 | 2017-09-14 |
| 1518487818 | Dana Shepherd | Specialist/Technologist | 163 Libbey Industrial Parkway, Suite 302, Weymouth, MA 02189 | 2017-06-27 |
| 1063867802 | Gerald F. Finerty IIi | Nurse Anesthetist, Certified Registered | 163 Libbey Pkwy Ste 301, Weymouth, MA 02189 | 2016-04-29 |
| 1417326604 | Ocean State Urgent Care | Physician Assistant | 119 Liberty Bell Cir, Weymouth, MA 02189 | 2015-09-18 |
| 1558746636 | Jaime Hill | Nurse Practitioner | 31 Charles Street, Weymouth, MA 02189 | 2015-07-30 |
| 1780865337 | James Tyler Carpenter | Psychologist | Neurobehavioral Associates, 169 Libbey Parkway, 2nd Floor, Weymouth, MA 02189 | 2007-11-23 |
| 1508054248 | Anita Nathan Shukla | Ophthalmology | 97 Libbey Industrial Parkway, Suite 100, E. Weymouth, MA 02189 | 2007-10-09 |
| 1164618757 | Mahesh Pandey | Internal Medicine | Dana Farber Community Cancer Care, 51 Performance Drive, Suite 110, Weymouth, MA 02189 | 2007-09-18 |
| 1750573887 | Michele Donlon | Speech-Language Pathologist | 163 Libbey Industrial Pkwy Ste 302, Weymouth, MA 02189 | 2007-08-13 |
| Find all providers in zip 02189 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164618757 | Mahesh Pandey | Internal Medicine | Dana Farber Community Cancer Care, 51 Performance Drive, Suite 110, Weymouth, MA 02189 | 2007-09-18 |
| 1528041720 | Carol T Mei | Internal Medicine | 51 Performance Dr Ste 110, Weymouth, MA 02189-3141 | 2005-11-22 |
| 1639115041 | Anne E Roberge | Internal Medicine | 101 Columbian St, Weymouth, MA 02190 | 2006-06-22 |
| 1215911789 | James R Everett | Internal Medicine | 51 Performance Dr, Suite 110, Weymouth, MA 02189-3141 | 2005-11-30 |
| 1801879002 | Sarah K May | Internal Medicine | 51 Performance Dr, Suite 110, Weymouth, MA 02189-3141 | 2005-11-22 |
| 1699758896 | Paul C Musto | Internal Medicine | 51 Performance Dr, Suite 110, Weymouth, MA 02189-3141 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699305615 | Donghui L Yu | Internal Medicine | 1500 District Ave Ste 2119, Burlington, MA 01803-5069 | 2020-01-17 |
| 1689191090 | Clinton Wayne Lewis | Internal Medicine | 450 Brookline Ave # 2-058, Boston, MA 02215-5418 | 2017-08-25 |
| 1306208905 | Gregory Ivan Berk | Internal Medicine | 133 Claybrook Rd, Dover, MA 02030-2116 | 2016-03-23 |
| 1457732711 | Camille Johnson | Internal Medicine | Section of Hematology and Oncology Bu/bmc Cancer Center, Boston University 650 Albany St, Ebrc 406, Boston, MA 02118 | 2015-06-12 |
| 1073946018 | Howard George Goldsweig | Internal Medicine | 2400 Beacon St Unit 213, Chestnut Hill, MA 02467-1469 | 2013-08-13 |
| 1861745796 | Benjamin Koziner | Internal Medicine | 11 Farmington Ave, Haverhill, MA 01832-8608 | 2012-10-16 |
| 1962768812 | Elizabeth Paige Walsh | Internal Medicine | 2443 Massachusetts Ave, Apt 3, Cambridge, MA 02140-1132 | 2012-04-04 |
| 1457669293 | Plymouth Medal Group Inc | Internal Medicine | 71 Commercial St, Ste 307, Boston, MA 02109-1320 | 2010-09-14 |
| 1295060812 | Abraham Mark Colb | Internal Medicine | 226 Wren St, West Roxbury, MA 02132-2716 | 2009-10-15 |
| 1962646307 | Anna Berkenblit | Internal Medicine | 35 Cambridge Park Dr., Cambridge, MA 02140 | 2009-04-29 |
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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.