REVATHI SHEKAR


Address: 75 Francis St., Boston, MA 02115
Phone: 6177326684

REVATHI SHEKAR (NPI# 1174907224) 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) 1174907224
Entity Type Individual
Full Name REVATHI SHEKAR
Credential BDS, MDS
Practice Address 75 Francis St.
Boston
MA 02115
Mailing Address 75 Francis St.
Brigham and Women's Hospital
Boston
MA 02115
Practice Telephone 6177326684
Practice Fax Number 6172328970
Mailing Telephone 6177326684
Mailing Fax Number 6172328970
Enumeration Date 2015-07-17
Last Update Date 2015-07-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 125Q00000X Oral Medicinist DL12543 MA Dental Providers

Office Location

Street Address 75 FRANCIS ST.
City BOSTON
State MA
Zip Code 02115

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861598179 Richard J Benjamin Pathology 75 Francis St., Brigham & Women's Hosp, Boston, MA 02115 2006-09-15
1578030250 Carla B Monteiro Social Worker 75 Francis St., Tower 1st Floor. Suite 159, Boston, MA 02115-6110 2018-10-31
1154811800 Trenton Tyler Kellock Student in an Organized Health Care Education/Training Program 75 Francis St., Msk Fellowship, Dept. of Radiology, Ra-3, Brigham & Wom, Boston, MA 02115 2018-05-17
1598260283 Olivia Buck Student in an Organized Health Care Education/Training Program 75 Francis St., Asb1-3-608a, Dept. of Ob/gyn Residency, Boston, MA 02115 2018-03-26
1053832444 John C Lamacchia Pathology 75 Francis St., Department of Pathology, Brigham and Women's Hospital, Boston, MA 02115 2017-07-06
1003349234 David Kolin Pathology 75 Francis St., Department of Pathology, Boston, MA 02115 2017-04-05
1588110134 Jason Schenkel Pathology 75 Francis St., Boston, MA 02115 2016-09-01
1184001216 Eli T Sayegh Orthopaedic Surgery 75 Francis St., Boston, MA 02115 2015-04-27
1639464001 Prescilia Nwabiani Isedeh Internal Medicine 75 Francis St., Boston, MA 02215 2011-06-14
1154626695 Christine Mary Harker Nurse Practitioner 75 Francis St., Occupational Health Dept. Mid Campus Ground Pike, Boston, MA 02115 2011-01-13
Find all providers in the same location

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
Find all providers in zip 02115

Taxonomy Information

Taxonomy Code 125Q00000X
Grouping Dental Providers
Classification Oral Medicinist

Taxonomy Definition

A dentist with advanced training specializing in the recognition and treatment of oral conditions resulting from the interrelationship between oral disease and systemic health. The Oral Medicinist manages clinical and non-surgical treatment of non-dental pathologies affecting the oral and maxillofacial region, such as cancer, organ transplants, and acute and chronic pain. Activities include provision of interdisciplinary patient care in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention.
Notes: Source: National Uniform Claim Committee [1/1/2015: new] Additional Resources: American Academy of Oral Medicine

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376191593 Waad Mohammed Alsaif Oral Medicinist 1 Kneeland St Ste 646, Boston, MA 02111-1527 2019-08-30
1083262208 Ahd Alsaif Oral Medicinist 1 Kneeland St Ste 646, Boston, MA 02111-1527 2019-08-30
1073963971 Amr Bugshan Oral Medicinist 1 Kneeland St, Boston, MA 02111-1527 2016-06-21
1144519240 Anna Dan Ni Yuan Oral Medicinist 1 Kneeland St, Boston, MA 02111 2011-03-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588111389 Alaa Bukhari Oral Medicinist 75 Station Lndg, #526, Medford, MA 02155-5127 2016-09-09

Competitor

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City BOSTON
Zip Code 02115

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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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