MRS. MARIETTE TYEDMERS


Address: 300 Longwood Ave Dept Of, Boston, MA 02115-5724
Phone: 6173556845

MRS. MARIETTE TYEDMERS (NPI# 1144489055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144489055
Entity Type Individual
Full Name MRS. MARIETTE TYEDMERS
Credential CO
Practice Address 300 Longwood Ave Dept Of
Boston
MA 02115-5724
Mailing Address 57 Magee St
Cambridge
MA 02139-2915
Practice Telephone 6173556845
Practice Fax Number 6177300392
Mailing Telephone 6178641296
Enumeration Date 2008-06-05
Last Update Date 2008-06-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1900X Technician/Technologist
Specialization: Orthoptist 		Eye and Vision Services Providers

Office Location

Street Address 300 LONGWOOD AVE DEPT OF
City BOSTON
State MA
Zip Code 02115-5724

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538381231 Catherine Caillouette Registered Nurse 300 Longwood Ave Dept Of, Boston, MA 02115-5724 2007-05-03
1326657016 Matthew Asermely Dentist 300 Longwood Ave Dept Of, Boston, MA 02115-5724 2020-07-28
1780202846 Imari-ashley Fulache Palma Psychologist 300 Longwood Ave Dept Of, Boston, MA 02115-5724 2020-07-06
1376003251 Lukas Kames Gaffney Pediatrics 300 Longwood Ave Dept Of, Boston, MA 02115-5724 2019-03-25
1144789140 Evida Dennis Student in an Organized Health Care Education/Training Program 300 Longwood Ave Dept Of, Boston, MA 02115-5724 2019-03-19
1811464837 Erin Halley Stockman Nurse Practitioner 300 Longwood Ave Dept Of, Boston, MA 02115-5737 2018-10-29
1760985568 Jillian Simon Physician Assistant 300 Longwood Ave Dept Of, Boston, MA 02115 2018-03-18
1295178549 Maricarmen Roche Rodriguez Anesthesiology 300 Longwood Ave Dept Of, Boston, MA 02115-5724 2013-04-16
1467742486 Sarah Elizabeth Fleet Pediatrics 300 Longwood Ave Dept Of, Boston, MA 02115-5724 2011-04-11
1134305071 Jonathan Oren Lipton Psychiatry & Neurology 300 Longwood Ave Dept Of, Fegan 11, Boston, MA 02115-5724 2008-01-10
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 156FX1900X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Orthoptist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295994317 Sarah Elizabeth Mackinnon Technician/Technologist 300 Longwood Ave, Dept of Ophthalmology, Fegan 4, Boston, MA 02115-5724 2008-06-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881884856 The Lions Orthoptic Clinic of Western Ma Inc Technician/Technologist 130 Maple St, Suite 326, Springfield, MA 01103-2202 2007-07-26

Competitor

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City BOSTON
Zip Code 02115

Improve Information

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Dataset Information

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.

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