DANIEL VARDEH (NPI# 1205132990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205132990 |
| Entity Type | Individual |
| Full Name | DANIEL VARDEH |
| Credential | M.D. |
| Practice Address |
Lahey Hospital & Medical Ctr 41 Mall Rd. Burlington MA 01805-0001 |
| Mailing Address |
41 Mall Rd Burlington MA 01805-0001 |
| Practice Telephone | 7817448000 |
| Mailing Telephone | 7817744509 |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2017-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
252909 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
252909 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
LAHEY HOSPITAL & MEDICAL CTR 41 MALL RD. |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01805-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184666315 | Mark Anthony Gendreau | Emergency Medicine | Lahey Hospital & Medical Ctr, 41 Mall Rd, Burlington, MA 01805-0001 | 2006-06-12 |
| 1295186732 | Nancy Porter | Social Worker | Lahey Hospital & Medical Ctr, 41 Mall Rd., Burlington, MA 01805-0001 | 2016-06-27 |
| 1568813376 | Merle Kushner | Social Worker | Lahey Hospital & Medical Ctr, 41 Mall Rd., Burlington, MA 01805-0001 | 2016-06-23 |
| 1083065890 | Susan Ladd | Social Worker | Lahey Hospital & Medical Ctr, 41 Mall Rd., Burlington, MA 01805-0001 | 2016-06-23 |
| 1225489032 | Jennifer Vanderlinden | Social Worker | Lahey Hospital & Medical Ctr, 41 Mall Rd., Burlington, MA 01805-0001 | 2016-06-23 |
| 1477903508 | Lisa Carlson-hill | Social Worker | Lahey Hospital & Medical Ctr, 41 Mall Rd., Burlington, MA 01805-0001 | 2016-06-20 |
| 1962852004 | Jayne Kraslin | Social Worker | Lahey Hospital & Medical Ctr, 41 Mall Rd., Burlington, MA 01805-0001 | 2016-06-20 |
| 1285083725 | Joseph R Ackerman | Social Worker | Lahey Hospital & Medical Ctr, 41 Mall Rd., Burlington, MA 01805-0001 | 2016-06-06 |
| 1588930820 | Daniel Esteban Cruz | Hospitalist | Lahey Hospital & Medical Ctr, 41 Mall Rd., Burlington, MA 01805-0001 | 2012-03-30 |
| 1780975177 | Jessica Carly Sophia Mintz | Internal Medicine | Lahey Hospital & Medical Ctr, 41 Mall Rd., Burlington, MA 01805-0001 | 2011-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
| 1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
| 1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
| 1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
| Find all providers in zip 01805 | ||||
| Taxonomy Code | 2084P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Pain Medicine |
| A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508100157 | Greystone Pain Management Inc | Psychiatry & Neurology | 21 Rockland St, Unit M, Canton, MA 02021 | 2012-11-20 |
| 1235123381 | Alyssa Ann Lebel | Psychiatry & Neurology | 333 Longwood Ave Fl 5, Boston, MA 02115-5711 | 2005-09-06 |
| 1407169568 | Analgesic Solutions | Psychiatry & Neurology | 232 Pond St, Natick, MA 01760-4366 | 2010-07-19 |
| 1922113562 | Alice X Truong | Psychiatry & Neurology | 3 Woodland Rd, Suite 322, Stoneham, MA 02180-1702 | 2006-08-21 |
| City | BURLINGTON |
| Zip Code | 01805 |
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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.