DR. SETH MCCLENNEN (NPI# 1265419410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265419410 |
| Entity Type | Individual |
| Full Name | DR. SETH MCCLENNEN |
| Credential | MD |
| Practice Address |
541 Main St Suite 400 South Weymouth MA 02190-1868 |
| Practice Telephone | 7819521200 |
| Practice Fax Number | 7813401610 |
| Mailing Telephone | 7819521200 |
| Mailing Fax Number | 7813401610 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2014-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 160065 | MA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
160065 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
160065 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN | 469016 | 01 |
| MA | HARVARD PILGRIM | AA11795 | 01 |
| MA | FALLON COMM HEALTH PLAN | 91036 | 01 |
| MA | 2062861 | 05 | |
| MA | NEIGHBORHOOD HEALTH PLAN | 0033355 | 01 |
| MA | BLUE CROSS BLUE SHIELD | J27401 | 01 |
| Street Address |
541 MAIN ST SUITE 400 |
| City | SOUTH WEYMOUTH |
| State | MA |
| Zip Code | 02190-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346249000 | Peter A. Grape | Internal Medicine | 541 Main St, Suite 400, South Weymouth, MA 02190-1868 | 2005-07-15 |
| 1750777132 | Shawna Marie Maroney | Counselor | 541 Main St, South Weymouth, MA 02190-1868 | 2015-04-12 |
| 1578991113 | Gk Dermatology, PC | Dermatology | 541 Main St, Suite 318, South Weymouth, MA 02190-1868 | 2013-10-16 |
| 1306100458 | Nicole Sirianni | Counselor | 541 Main St, Suite Number 303, South Weymouth, MA 02190-1868 | 2012-07-03 |
| 1770857286 | Dana Anstett | Counselor | 541 Main St, Suite 303, South Weymouth, MA 02190-1868 | 2012-03-01 |
| 1912296633 | Harbor Medical Associates P.C. | Clinic/Center | 541 Main St, Suite 414, South Weymouth, MA 02190-1868 | 2011-04-04 |
| 1649591983 | Farah Malary | Physician Assistant | 541 Main St, Suite 414, South Weymouth, MA 02190-1868 | 2010-06-22 |
| 1649505967 | Bridget M Freeman | Social Worker | 541 Main St, Suite 317, South Weymouth, MA 02190-1868 | 2009-10-04 |
| 1902079494 | John Wolfert | Physician Assistant | 541 Main St, Suite 414, South Weymouth, MA 02190-1868 | 2008-04-07 |
| 1912181843 | Healthy Heart Sleep Programs, Inc. | Durable Medical Equipment & Medical Supplies | 541 Main St, Suite 314, South Weymouth, MA 02190 | 2007-12-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194992834 | Vassilios James Bezzerides | Internal Medicine | 300 Longwood Ave # Enders12, Boston, MA 02115-5724 | 2008-05-12 |
| 1306857081 | Christopher A Clyne | Internal Medicine | 365 Highland Avenue, Fall River, MA 02720-3703 | 2006-08-10 |
| 1417949041 | Kimberly Anise Powers | Internal Medicine | 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335 | 2005-08-19 |
| 1669097275 | Zain Sharif | Internal Medicine | 55 Fruit St, Boston, MA 02114 | 2020-06-09 |
| 1285110908 | Pierre Qian | Internal Medicine | 75 Francis St, Boston, MA 02115-6106 | 2018-07-16 |
| 1447764253 | Cardiovascular Center At Tufts Medical Center, Inc. | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2017-12-01 |
| 1659894012 | Aharon Erez | Internal Medicine | 736 Cambridge St, Brighton, MA 02135-2907 | 2017-07-18 |
| 1568983179 | Allon Eyal | Internal Medicine | 185 Pilgrim Rd # Baker4, Boston, MA 02215-5324 | 2017-07-05 |
| 1811349673 | Audrey Dionne | Internal Medicine | 300 Longwood Ave, Cardiology Departement, Boston, MA 02115-5724 | 2016-07-05 |
| 1083000616 | Saagar Mahida | Internal Medicine | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02446 | 2015-04-10 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WEYMOUTH |
| Zip Code | 02190 |
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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.