GEORGE W LOVETT (NPI# 1194784462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194784462 |
| Entity Type | Individual |
| Full Name | GEORGE W LOVETT |
| Credential | MD |
| Practice Address |
1215 Broadway Raynham MA 02767-1942 |
| Mailing Address |
680 Centre St Brockton MA 02302-3308 |
| Practice Telephone | 5088940400 |
| Practice Fax Number | 5085650012 |
| Mailing Telephone | 5089417000 |
| Mailing Fax Number | 5085650012 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2015-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 256442 | MA | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 0102864A | IN | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 127922 | CO | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | M-1660 | GU | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 15132 | NH | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 0488 | MP | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 22967 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30209941 | 05 | |
| MA | 110088645A | 05 |
| Street Address |
1215 BROADWAY |
| City | RAYNHAM |
| State | MA |
| Zip Code | 02767-1942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932183423 | Bruce P Kaplan | Family Medicine | 1215 Broadway, Raynham, MA 02767-1942 | 2005-11-30 |
| 1043760036 | Jessica Wiggins | Nurse Practitioner | 1215 Broadway, Raynham, MA 02767-1942 | 2016-10-13 |
| 1730438268 | Renee E Brown | Nurse Practitioner | 1215 Broadway, Raynham, MA 02767-1942 | 2012-08-30 |
| 1750689840 | George Vardoulias | Family Medicine | 1215 Broadway, Raynham, MA 02767-1942 | 2011-03-14 |
| 1669600482 | Rachel Tagoe | Family Medicine | 1215 Broadway, Raynham, MA 02767-1942 | 2009-07-01 |
| 1598930398 | Kyung Hee Chang | Dermatology | 1215 Broadway, Raynham, MA 02767-1942 | 2008-04-23 |
| 1851427116 | Mitchell S Pozner | Pediatrics | 1215 Broadway, Raynham, MA 02767-1942 | 2007-02-23 |
| 1275688442 | Farhan Ibrahimi | Internal Medicine | 1215 Broadway, Raynham, MA 02767-1942 | 2007-01-25 |
| 1326000779 | Fitness Forum Services LLC | Physical Therapist | 1215 Broadway, Raynham, MA 02767-1942 | 2006-04-03 |
| 1184692824 | Leah Mckenna | Physical Therapist | 1215 Broadway, Raynham, MA 02767-1942 | 2006-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044069 | Heather Dubose | Social Worker | 329 King Philip Street, Raynham, MA 02767 | 2020-08-21 |
| 1801115654 | Wanda L Meyer | Registered Nurse | 257 Prospect Hill St., Raynham, MA 02767 | 2010-05-19 |
| 1033386099 | Choice Dental Inc | Dentist | 606 North Main Streeet, Raynham, MA 02767 | 2008-05-09 |
| 1639378482 | Laura Eddy | Counselor | 90 New State Highway Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-07-12 |
| 1861617524 | Charlene A Remillard | Social Worker | 90 New State Highway, Raynham, MA 02767 | 2007-04-16 |
| 1437287166 | Sandra Diaz | Psychologist | 90 New State Hwy, Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-03-02 |
| 1629115688 | Luis Moncada | Dentist | 500 Raynham Street West, Raynham, MA 02767 | 2007-01-31 |
| 1942300371 | Cvs Pharmacy Inc | Pharmacy | 252 Broadway, Raynham, MA 02767 | 2006-09-25 |
| 1912004524 | Mrudula Patel | Family Medicine | 302 Broadway Ste 8, Hines Dermatology Associates, Raynham, MA 02767 | 2006-09-19 |
| 1447271374 | Mary Ann Garcia Dds PC | Dentist | 166 Paramount Dr, Raynham, MA 02767 | 2006-07-23 |
| Find all providers in zip 02767 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174656375 | Seymour M Solomon | Dermatology | 106 Route 44, Raynham, MA 02767-1403 | 2007-03-14 |
| 1598930398 | Kyung Hee Chang | Dermatology | 1215 Broadway, Raynham, MA 02767-1942 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090445 | Peter T Demos Md | Dermatology | 125 Liberty St Ste 206, Springfield, MA 01103-1109 | 2020-07-08 |
| 1376180760 | Integrated Dermatology of Needham, LLC | Dermatology | 60 Dedham Ave Ste 206, Needham, MA 02492-3061 | 2019-12-04 |
| 1164069647 | Integrated Dermatology of Mashton, LLC | Dermatology | 800 Falmouth Rd Ste 101, Mashpee, MA 02649-3303 | 2019-12-04 |
| 1972164937 | Kuchnir Realty, LLC | Dermatology | 11 Apex Dr Ste 103a, Marlborough, MA 01752-1860 | 2019-06-21 |
| 1265098032 | Mark Amster Derm | Dermatology | 800 Falmouth Rd Ste 101b, Mashpee, MA 02649-3352 | 2019-05-16 |
| 1831684224 | Chotinij Lertphanichkul | Dermatology | 850 Boylston St Ste 437, Chestnut Hill, MA 02467-2405 | 2018-06-27 |
| 1023515277 | Vibrant Dermatology Pllc | Dermatology | 588 Providence Hwy, Dedham, MA 02026-6804 | 2018-04-12 |
| 1437665908 | Kuchnir Dermatology, PC | Dermatology | 20 Hope Ave Ste 105, Waltham, MA 02453-2717 | 2017-12-20 |
| 1265941082 | Integrated Dermatology Group, LLC | Dermatology | 280 Washington St Ste 212, Brighton, MA 02135-3511 | 2017-09-25 |
| 1679098750 | Avant-garde Medical LLC | Dermatology | 62 Pleasant St, Natick, MA 01760-5634 | 2017-08-09 |
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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.