DR. JESSICA L. FEWKES (NPI# 1295726396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295726396 |
| Entity Type | Individual |
| Full Name | DR. JESSICA L. FEWKES |
| Credential | M.D. |
| Practice Address |
243 Charles St Boston MA 02114-3002 |
| Practice Telephone | 6175734102 |
| Mailing Telephone | 6175734102 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2011-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
50939 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 6172903 | 05 |
| Street Address |
243 CHARLES ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538160452 | John M. Dobrowski | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2005-08-02 |
| 1275133829 | Caroline Burns | Registered Nurse | 243 Charles St, Boston, MA 02114-3002 | 2020-10-31 |
| 1831796440 | Jenna Goldstein | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-10-06 |
| 1700483336 | Eileen Lancaster | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-10-06 |
| 1104432913 | Adelia Witt | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-09-17 |
| 1063027084 | Emily M Kucher | Student in an Organized Health Care Education/Training Program | 243 Charles St, Boston, MA 02114-3002 | 2020-09-15 |
| 1144832007 | Zoe Stern | Registered Nurse | 243 Charles St, Boston, MA 02114-3002 | 2020-08-20 |
| 1265058085 | Elizabeth Chandler Smith | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-06-17 |
| 1801411244 | Emma Rose Alscher | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-06-11 |
| 1639792997 | Donna Evelyn Green | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932186772 | Benjamin Arthur Solky | Dermatology | 160 Saint Botolph St, Boston, MA 02115-5119 | 2005-12-22 |
| 1265638845 | Molly Yancovitz | Dermatology | 243 Charles St, Boston, MA 02114-3002 | 2007-06-21 |
| 1083647648 | Brigham and Womens Physicians Organization Inc | Dermatology | 221 Longwood Ave, Boston, MA 02115-5804 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176277 | Dennis A Porto Md PC | Dermatology | 1 Maple St Ste 2, Milford, MA 01757-5614 | 2020-08-24 |
| 1619295847 | Lara Kathryn Butler | Dermatology | One Scobee Circle, Unit 3, South Shore Skin Center, Plymouth, MA 02360 | 2010-05-12 |
| 1407905961 | Greater Metrowest Dermsurgeons, LLC | Dermatology | 57 Providence Hwy, Norwood, MA 02062 | 2007-01-10 |
| 1295841138 | Steven J Garrett | Dermatology | Mashpee Health Center, 5 Industrial Dr, Suite 109, Mashpee, MA 02649 | 2006-08-22 |
| 1477572816 | Marina Kuperman-beade | Dermatology | 1030 President Ave Ste 306, Fall River, MA 02720-5923 | 2006-07-18 |
| 1518958297 | Christine M Hayes | Dermatology | 33 Village Sq, Chelmsford, MA 01824-2712 | 2005-11-02 |
| 1518958289 | Niels C. Krejci | Dermatology | 128 Carnegie Row, Norwood, MA 02062-5010 | 2005-11-02 |
| 1124014006 | Stephen O. Kovacs | Dermatology | 77 Warren St., Suite 302, Brighton, MA 02135-3514 | 2005-09-26 |
| 1851860605 | Nesc - Win-lah, LLC | Dermatology | 27 Village Square, Chelmsford, MA 01824 | 2018-11-21 |
| 1912454745 | Steven P.smith, Md | Dermatology | 332 Washington St, Suite# 355, Wellesley Hills, MA 02481-6219 | 2016-09-09 |
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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.