DR. EDWARD RAPHAEL LEVY (NPI# 1255309571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255309571 |
| Entity Type | Individual |
| Full Name | DR. EDWARD RAPHAEL LEVY |
| Credential | MD |
| Practice Address |
500 Columbia Rd Mailstop 415-03 Dorchester MA 02125-2322 |
| Mailing Address |
500 Columbia Rd 415-03 Dorchester MA 02125-2322 |
| Practice Telephone | 6172878000 |
| Mailing Telephone | 6172878000 |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
77208 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518120864 | Edward D Levy Jr. | Psychiatry & Neurology | 2317 Coliseum St, New Orleans, LA 70130-5768 | 2008-07-08 |
| 1568557528 | Edward E. Levy IIi | Dentist | 7037 Canal Blvd, Suite 206-207, New Orleans, LA 70124-3453 | 2006-10-04 |
| 1427022235 | Edward R Levy | Optometrist | 70 W Allendale Ave, Allendale Med Center, Allendale, NJ 07401-1798 | 2006-02-16 |
| 1659653129 | Edward Karl Levy | Pharmacist | 431 Haledon Ave, Haledon, NJ 07508-1555 | 2011-09-12 |
| 1457644239 | Edward M Levy | Internal Medicine | 817 Princeton Ave Sw, Pob II; Suite 300, Birmingham, AL 35211-1333 | 2011-05-26 |
| 1144248691 | Edward S Levy | Obstetrics & Gynecology | 816 S Kirkwood Rd, Suite 100, Saint Louis, MO 63122-6015 | 2006-07-17 |
| 1851372072 | Edward A Levy | Plastic Surgery | 33100 Cleveland Clinic Blvd, Mail Code Avw3-1, Avon, OH 44011-1390 | 2005-11-07 |
| Street Address |
500 COLUMBIA RD MAILSTOP 415-03 |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02125-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023002169 | Geoffrey Alan Modest | Family Medicine | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2005-09-05 |
| 1164072708 | Chavely Rijo | Registered Nurse | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2019-09-16 |
| 1538627757 | Chrisler C Thornhill | Registered Nurse | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2019-03-06 |
| 1932694718 | Nicole Leeann Smith | Licensed Practical Nurse | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2018-06-25 |
| 1518313683 | Cristina Fernandes | Registered Nurse | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2016-05-09 |
| 1457719031 | Ella Stemmer | Nurse Practitioner | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2016-02-10 |
| 1912383753 | Shelly Emile | Registered Nurse | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2015-08-04 |
| 1952794869 | Nasra Adan | Registered Nurse | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2015-03-17 |
| 1639577679 | Emmanuel Kamonou | Registered Nurse | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2014-12-08 |
| 1093142523 | Julieanne Burridge | Registered Nurse | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2013-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922520840 | Aj Guerrero | Counselor | 6 Glen St. #3, Boston, MA 02125 | 2017-07-12 |
| 1982059218 | Ana Fernandez | Psychologist | University of Massachusetts, Boston, 100 William T. Morrissey Blvd, Boston, MA 02125 | 2016-04-23 |
| 1558725184 | Algecira Garcia-ortiz | Massage Therapist | 12 Judson St, Dorchester, MASSACHUSETTS 02125 | 2016-04-10 |
| 1508251414 | Sing Hong Ty | Registered Nurse | 415 Colombia Rd, Dorchester, MA 02125 | 2015-03-30 |
| 1972806750 | Joanne Pomales | Counselor | 18 Harbor Crest Court 102, Dorchester, MA 02125 | 2010-12-16 |
| 1386969335 | Kara Jillian Sheridan | Counselor | 58 Dorset St, Boston, MA 02125 | 2010-04-02 |
| 1750533956 | Wendy M. Jern | Physical Therapist | 21riley Rd #2, Hyde Park, MA 02125 | 2008-10-21 |
| 1174729743 | Payton Brandyberry | Counselor | 500 Columbia Rd, Mail Stop 415-05, Upham's Corner Health Center, Dorchester, MA 02125 | 2007-06-21 |
| 1699817247 | Dong Lan Corporation | Pharmacist | 1167 A Dorchester Ave, Dorchester, MA 02125 | 2007-02-12 |
| 1457490153 | Sarah L Merin | Social Worker | Upham's Corner Health Center, 500 Columbia Rd, Mailstop 415-05, Dorchester, MA 02125 | 2007-02-06 |
| Find all providers in zip 02125 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033359898 | Bharati Reejhsinghani Md | Pediatrics | 754 Chestnut St, Springfield, MA 01107-1614 | 2009-03-05 |
| 1437301900 | Vaibhav Goyal | Pediatrics | 874 Purchase Street, Greater New Bedford Community Health, New Bedford, MA 02740 | 2008-10-16 |
| 1649455973 | Robert J. Giordano Md PC | Pediatrics | 100 South St Ste 205, Southbridge, MA 01550-4051 | 2008-01-06 |
| 1407979560 | Bharati Nandlal Reejhsinghani | Pediatrics | 754 Chestnut Street, Springfield, MA 01107 | 2007-04-06 |
| 1609903582 | Harris C Faigel | Pediatrics | 55 Kensington Cir, Chestnut Hill, MA 02467-2675 | 2007-02-27 |
| 1871667303 | Brian J. Dempsey Md | Pediatrics | 758 East St, Pittsfield, MA 01201-5326 | 2006-11-17 |
| 1295757268 | Mark Vonnegut | Pediatrics | 21 Totman Street #2, Quincy, MA 02169 | 2006-07-25 |
| 1356390215 | Richard John Kerbel | Pediatrics | 548 Mount Auburn St, Watertown, MA 02472-4122 | 2006-05-09 |
| 1487602884 | Paula K Braverman | Pediatrics | 50 Wason Avenue, Springfield, MA 01107-1274 | 2006-05-05 |
| 1619930559 | Marianne Sarah Koenig | Pediatrics | 449 Route 130, Sandwich, MA 02563-2339 | 2006-04-11 |
| Find all providers with the same taxonomy | ||||
| City | DORCHESTER |
| Zip Code | 02125 |
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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.