DR. PAUL R MASSEY (NPI# 1174943690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174943690 |
| Entity Type | Individual |
| Full Name | DR. PAUL R MASSEY |
| Credential | MD |
| Practice Address |
221 Longwood Ave Boston MA 02115-5804 |
| Practice Telephone | 6177324918 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 274175 | MA | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | BP10050057 | TX | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
12943A | WY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 East 15th Street, Utsw-austin University Medical Center At Brackenridge, Austin, TX 78701 | 5123248355 |
| Street Address |
221 LONGWOOD AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748463 | Nikheel Shrinivas Kolatkar | Internal Medicine | 221 Longwood Ave, Boston, MA 02115-5804 | 2005-05-23 |
| 1962027805 | Cindy H Liu | Psychologist | 221 Longwood Ave, Boston, MA 02115-5817 | 2020-06-16 |
| 1184110652 | Victoria Ross Hasler | Psychologist | 221 Longwood Ave, Boston, MA 02115-5804 | 2018-07-07 |
| 1710471735 | Amanda Elizabeth Pierce | Physician Assistant | 221 Longwood Ave, Boston, MA 02115 | 2018-06-22 |
| 1972013282 | Shannon M Sorenson | Psychologist | 221 Longwood Ave, Boston, MA 02115-5804 | 2017-10-02 |
| 1598274508 | Kathleen Marion | Nurse Practitioner | 221 Longwood Ave, Boston, MA 02115-5804 | 2017-09-21 |
| 1114442548 | Lisa Iannattone | Dermatology | 221 Longwood Ave, Boston, MA 02115-5804 | 2017-08-07 |
| 1285154674 | Theodora Pappa | Internal Medicine | 221 Longwood Ave, Boston, MA 02115-5817 | 2017-06-27 |
| 1326586496 | Jessica Morrow Lipschitz | Psychologist | 221 Longwood Ave, Boston, MA 02115-5804 | 2017-02-08 |
| 1841748837 | Kayla Liany Delvalle | Nurse Practitioner | 221 Longwood Ave, Room 381, Boston, MA 02115-5804 | 2016-09-19 |
| Find all providers in the same location | ||||
| 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 Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932186772 | Benjamin Arthur Solky | Dermatology | 160 Saint Botolph St, Boston, MA 02115-5119 | 2005-12-22 |
| 1265638845 | Molly Yancovitz | Dermatology | 243 Charles St, Boston, MA 02114-3002 | 2007-06-21 |
| 1083647648 | Brigham and Womens Physicians Organization Inc | Dermatology | 221 Longwood Ave, Boston, MA 02115-5804 | 2006-07-08 |
| 1295726396 | Jessica L. Fewkes | Dermatology | 243 Charles St, Boston, MA 02114-3002 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176277 | Dennis A Porto Md PC | Dermatology | 1 Maple St Ste 2, Milford, MA 01757-5614 | 2020-08-24 |
| 1619295847 | Lara Kathryn Butler | Dermatology | One Scobee Circle, Unit 3, South Shore Skin Center, Plymouth, MA 02360 | 2010-05-12 |
| 1407905961 | Greater Metrowest Dermsurgeons, LLC | Dermatology | 57 Providence Hwy, Norwood, MA 02062 | 2007-01-10 |
| 1295841138 | Steven J Garrett | Dermatology | Mashpee Health Center, 5 Industrial Dr, Suite 109, Mashpee, MA 02649 | 2006-08-22 |
| 1477572816 | Marina Kuperman-beade | Dermatology | 1030 President Ave Ste 306, Fall River, MA 02720-5923 | 2006-07-18 |
| 1518958297 | Christine M Hayes | Dermatology | 33 Village Sq, Chelmsford, MA 01824-2712 | 2005-11-02 |
| 1518958289 | Niels C. Krejci | Dermatology | 128 Carnegie Row, Norwood, MA 02062-5010 | 2005-11-02 |
| 1124014006 | Stephen O. Kovacs | Dermatology | 77 Warren St., Suite 302, Brighton, MA 02135-3514 | 2005-09-26 |
| 1851860605 | Nesc - Win-lah, LLC | Dermatology | 27 Village Square, Chelmsford, MA 01824 | 2018-11-21 |
| 1912454745 | Steven P.smith, Md | Dermatology | 332 Washington St, Suite# 355, Wellesley Hills, MA 02481-6219 | 2016-09-09 |
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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.