DR. WILLIAM MARK NANNERY (NPI# 1174558209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174558209 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM MARK NANNERY |
| Credential | MD |
| Practice Address |
490 Chapman St Canton MA 02021-2039 |
| Practice Telephone | 7818284030 |
| Practice Fax Number | 7818287730 |
| Mailing Telephone | 7818284030 |
| Mailing Fax Number | 7818287730 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2009-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 76851 | MA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
76851 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TUFTS | 076851 | 01 | |
| HARVARD PILGRIM | 8568 | 01 | |
| MA | 3136167 | 05 | |
| TUFTS | 697329 | 01 | |
| MA | 9717561 | 05 | |
| BCBS | M18288 | 01 | |
| MA | BCBS | J14582 | 01 |
| Street Address |
490 CHAPMAN ST |
| City | CANTON |
| State | MA |
| Zip Code | 02021-2039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265931331 | Faith Alpiche Felitto | Registered Nurse | 9 Bay Drive, Apt 113, Canton, MA 02021 | 2018-02-05 |
| 1184122103 | Mind Compass, LLC | Counselor | 45 Dan Road, C/o Workspace@45, Suite 19, Canton, MA 02021 | 2018-01-24 |
| 1861903353 | Daphnis Colin | Registered Nurse | 211 Bay Drive, Canton, MA 02021 | 2017-10-24 |
| 1245772276 | Rebecca Selenow | Counselor | 10 Emerson Rd, Canton, MA 02021 | 2016-11-08 |
| 1407398449 | Brightview Canton LLC | Alzheimer Center (Dementia Center) | 125 Turnpike Street, Canton, MA 02021 | 2016-11-08 |
| 1699144014 | Marguerite Hobbs | Social Worker | 55 Pecunit St, Canton, MA 02021 | 2015-09-15 |
| 1447662234 | Cornerstone At Canton Assisted Living LLC | Assisted Living Facility | 175 Revere Street, Canton, MA 02021 | 2014-05-28 |
| 1508100157 | Greystone Pain Management Inc | Psychiatry & Neurology | 21 Rockland St, Unit M, Canton, MA 02021 | 2012-11-20 |
| 1457678062 | Smile Designs Inc | Dentist | 95 Washington St # 480, Smile Designs Inc, Canton, MA 02021 | 2010-04-23 |
| 1114178803 | Jennifer Diana Marie Woodbury | Specialist/Technologist | 1 Whitman Road, Clarke School East, Canton, MA 02021 | 2008-10-01 |
| Find all providers in zip 02021 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619210481 | James Robert Cardella | Surgery | 1330 Mercy Dr Nw Ste 418, Canton, OH 44708-2625 | 2013-03-31 |
| 1417213893 | Kathryn Parker | Surgery | 470 Northside Cherokee Blvd Ste 230, Canton, GA 30115-8015 | 2012-04-10 |
| 1356570659 | Arcangelo V Mariano | Surgery | 10 Powderhill Rd, Canton, MA 02021-2101 | 2009-07-08 |
| 1053557223 | Roc & Associates M. D., P. C. | Surgery | 8554 N Canton Center Rd, Canton, MI 48187-1310 | 2008-12-18 |
| 1881802650 | Melvin Richard Stjernholm | Surgery | 2600 Tuscarawas St W Ste 620, Canton, OH 44708-4676 | 2007-05-17 |
| 1053421156 | James Scott Young | Surgery | 2600 6 St Sw, Aultman Hospital, Canton, OH 44710 | 2006-08-30 |
| 1639137581 | Gilbert Matas Roc | Surgery | 8554 Canton Center Rd, Canton, MI 48187-1310 | 2006-05-02 |
| 1235190554 | Bireswar Patnaik | Surgery | 4190 Holiday St Nw, Canton, OH 44718-2532 | 2006-03-28 |
| 1699160143 | Joseph W Gunter IIi Md Pllc | Surgery | 156 River Oaks Dr, Suite B, Canton, MS 39046-5376 | 2015-04-01 |
| 1669887527 | Rozana Hani Dwyer | Surgery | 180 S Main St, Canton, IL 61520-2608 | 2014-06-30 |
| Find all providers in CANTON | ||||
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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.