BEN MATTHEWS WILLWERTH JR. (NPI# 1174572689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174572689 |
| Entity Type | Individual |
| Full Name | BEN MATTHEWS WILLWERTH JR. |
| Credential | MD |
| Practice Address |
340 Wood Road Suite 301 Braintree MA 02184 |
| Practice Telephone | 7813566200 |
| Practice Fax Number | 7813566299 |
| Mailing Telephone | 7813566200 |
| Mailing Fax Number | 7813566299 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 156918 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3205754 | 05 | |
| MA | BLUE CROSS | J22035 | 01 |
| MA | TUFTS | 156918 | 01 |
| MA | HARVARD PILGRIM | AA1447 | 01 |
| Street Address |
340 WOOD ROAD SUITE 301 |
| City | BRAINTREE |
| State | MA |
| Zip Code | 02184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669473955 | Richard Black | Internal Medicine | 340 Wood Road, Braintree, MA 02184 | 2005-08-09 |
| 1013986694 | Milton Pediatric Associates LLC | Pediatrics | 340 Wood Road, Suite 301, Braintree, MA 02184 | 2006-03-16 |
| 1891762969 | Slavenka Milutin | Psychiatry & Neurology | 340 Wood Road, Suite 306, Braintree, MA 02184 | 2006-03-07 |
| 1891761359 | Lynne Ann Roddy | Social Worker | 340 Wood Road, Suite 306, Braintree, MA 02184 | 2006-02-24 |
| 1477529923 | Sheryl Toby Shapiro | Psychologist | 340 Wood Road, Suite 306, Braintree, MA 02184 | 2006-02-24 |
| 1174509004 | Leyda D. Delgado | Internal Medicine | 340 Wood Road, Braintree, MA 02184 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1356952378 | Samantha Taylor O'malley | Student in an Organized Health Care Education/Training Program | 639 Granite Street, N/a, Brainetree, MA 02184 | 2020-08-13 |
| 1184104499 | Andrea Boudreau | Social Worker | Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 | 2018-08-16 |
| 1144747221 | Mina Schafft Dmd Pllc | Dentist | 321 Washington Street, Unit 101, Westwood, MA 02184 | 2017-08-29 |
| 1922520592 | Samson Michel | Counselor | 400 Washington St. Suite 106, Braintree, MA 02184 | 2017-07-14 |
| 1760912653 | Shannon R Harvey | Behavioral Analyst | 501 Commerce Dr 4207, Braintree, MA 02184 | 2017-06-14 |
| 1275074429 | Colleen Dalton | Behavioral Analyst | 32 Powder Hill Dr, Braintree, MA 02184 | 2017-03-20 |
| 1295273266 | Jessica Morris | Occupational Therapist | 16 Kensington Street, Braintree, MA 02184 | 2017-02-09 |
| 1568834562 | Lisa Morrill | Counselor | 400 Washington St Ste 106, Braintree, MA 02184 | 2015-10-29 |
| 1831560382 | Dr Dental of Braintree PC | Dentist | 284 Grove St, Braintree, MA 02184 | 2015-10-09 |
| Find all providers in zip 02184 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437543923 | Natan Seidel | Pediatrics | 340 Wood Rd Ste 301, Braintree, MA 02184-2418 | 2015-03-24 |
| 1063805687 | Tufts Medical Center Community Care, Inc | Pediatrics | 325 Wood Rd, Suite 210, Braintree, MA 02184-2413 | 2015-03-06 |
| 1417114695 | Laura Cecchi Mccullough | Pediatrics | 340 Wood Rd, Suite 301, Braintree, MA 02184-2401 | 2008-05-16 |
| 1053501189 | Jonathan H Brenner | Pediatrics | 340 Wood Rd, Suite 301, Braintree, MA 02184-2401 | 2007-07-25 |
| 1053452458 | Scott R. Paul | Pediatrics | 340 Wood Rd, Suite 301, Braintree, MA 02184-2401 | 2007-02-09 |
| 1790896355 | Sari Miettinen | Pediatrics | 111 Grossman Dr, Braintree, MA 02184-4997 | 2006-08-31 |
| 1730147760 | Katherine A Jin | Pediatrics | 340 Wood Rd, Suite 301, Braintree, MA 02184-2401 | 2006-05-01 |
| 1013986694 | Milton Pediatric Associates LLC | Pediatrics | 340 Wood Road, Suite 301, Braintree, MA 02184 | 2006-03-16 |
| 1316927320 | Lydia E Rios | Pediatrics | 111 Grossman Dr, Braintree, MA 02184-4997 | 2006-01-18 |
| 1972581411 | Thomas J Hathaway | Pediatrics | 111 Grossman Dr, Braintree, MA 02184-4997 | 2006-01-05 |
| Find all providers in BRAINTREE | ||||
Please comment or provide details below to improve the information on BEN MATTHEWS WILLWERTH JR..
| 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.