MICHAEL ERDIL (NPI# 1194894154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194894154 |
Entity Type | Individual |
Full Name | MICHAEL ERDIL |
Credential | MD |
Practice Address |
5 Mount Royal Ave Ste 50 Marlborough MA 01752-1921 |
Practice Telephone | 5082517260 |
Practice Fax Number | 5082517265 |
Mailing Telephone | 5082517260 |
Mailing Fax Number | 5082517265 |
Enumeration Date | 2006-11-06 |
Last Update Date | 2019-04-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
45281 | MA | Allopathic & Osteopathic Physicians |
N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
023596 | CT | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
140 Hazard Ave, Suite 101, Enfield, CT 060824520 | 8607637668 | 8607637676 |
Street Address |
5 MOUNT ROYAL AVE STE 50 |
City | MARLBOROUGH |
State | MA |
Zip Code | 01752-1921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
1235754664 | Jessica Michelle Rudolph | Behavior Technician | 22 Cedar Hill Street, Suite 200, Marlborough, MA 01752 | 2020-06-11 |
1619501012 | Kady Potter | Behavioral Analyst | 225 Cedar Hill Street, Marlborough, MA 01752 | 2020-02-25 |
1639701113 | Cheyenne-lynn Charnik | Behavior Technician | 255 Cedar Hill St, Suite 200, Marlborough, MA 01752 | 2020-02-12 |
1063042711 | Nichole Lowder | Behavioral Analyst | 22 5 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-01-22 |
1164068649 | Ludiana Andrade | Behavioral Analyst | 225 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2019-11-20 |
1215583646 | Olivia Setzer | Behavior Technician | 225 Cedar Street, Suite 200, Marlborough, MA 01752 | 2019-08-12 |
1306490867 | Rachael Lee Pennachi | Behavior Technician | 225 Cedar Hill Street Ste 200, Marlborough, MA 01752 | 2019-08-01 |
1962964130 | Hero Therapy LLC | Behavioral Analyst | 11 Apex Dr Ste 300a, Marlborough, MA 01752 | 2019-04-04 |
1780190728 | Rachel Castleberry | Counselor | Advocates, 340 Maple Street 4th Floor, Marlborough, MA 01752 | 2017-12-28 |
Find all providers in zip 01752 |
Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437494473 | Healthstat On-site Clinic/varian- Newburyport | Preventive Medicine | 4 Stanley Tucker Dr, Newburyport, MA 01950-4039 | 2012-12-03 |
1780934349 | Healthstat Arkansas/pace Ind.- Cambridge | Preventive Medicine | 67 Faulkner St., North Billerica, MA 01862 | 2012-09-11 |
1033315114 | Manijeh Berenji | Preventive Medicine | 725 Albany St Ste 4b, Boston, MA 02118-3549 | 2007-06-25 |
1164630471 | James Robert Garb | Preventive Medicine | 11 Kingsbury Way, Yarmouth Port, MA 02675-1227 | 2007-05-18 |
1326162447 | Paul Anthony Keefe | Preventive Medicine | 29 Eaton Rd, Needham, MA 02492-3303 | 2007-03-16 |
1497749618 | Sven Knudsen Ljaamo | Preventive Medicine | 200 Springs Rd, Edith Nourse Rodgers Memorial Va Hospital, Bedford, MA 01730-1114 | 2005-09-02 |
1073090692 | Greater Boston Wellness Primary Care PC | Preventive Medicine | 200 Providence Hwy, Dedham, MA 02026-1881 | 2018-07-26 |
1942756192 | Patthrarawalai Phichalai | Preventive Medicine | 5 Middlesex Ave., Cambridge Health Alliance, Occupational Medicine Clinic, Somerville, MA 02145-1677 | 2016-08-28 |
1235514795 | Greater Boston Wellness Physicians | Preventive Medicine | 200 Providence Hwy, Dedham, MA 02026-1881 | 2015-07-27 |
1801131842 | Healthstat On-site Clinic/varian- Gloucester | Preventive Medicine | 35 Dory Rd, Gloucester, MA 01930-2236 | 2012-12-03 |
Find all providers with the same taxonomy |
City | MARLBOROUGH |
Zip Code | 01752 |
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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.