LUZBELLA M. SOUTHARD (NPI# 1306995170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306995170 |
Entity Type | Individual |
Full Name | LUZBELLA M. SOUTHARD |
Credential | M.D. |
Practice Address |
14 Ross Ave Basement Left Millis MA 02054-1545 |
Practice Telephone | 5083760114 |
Practice Fax Number | 5083769592 |
Mailing Telephone | 5083760114 |
Mailing Fax Number | 5083769592 |
Enumeration Date | 2007-01-09 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
41938 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 0182842 | 05 | |
MA | HARVARD PILGRIM HEALTHCAR | 6274 | 01 |
MA | TUFTS HEALTH CARE | 738314 | 01 |
Street Address |
14 ROSS AVE BASEMENT LEFT |
City | MILLIS |
State | MA |
Zip Code | 02054-1545 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053873547 | Awenasa Home Inc. | Nursing Facility/Intermediate Care Facility | 71 Union St., Willowbrook Manor Rest Home, Millis, MA 02054 | 2019-04-03 |
1811398217 | Sarah Al Aaraji | Dentist | 840 Main St Ste 112, Millis, MA 02054 | 2014-09-04 |
1972732329 | Natacha Marie Hupp | Dentist | 1098 Main St., Millis, MA 02054 | 2009-07-07 |
1801947742 | Melissa T Shapkin | Chiropractor | 840 Main Street, Suite 101, Millis, MA 02054 | 2007-01-16 |
1447311758 | Jennifer Anne Franceschelli | Physical Therapist | 27 Millston Rd, Westwood Physical Therapy, Millis, MA 02054 | 2006-12-12 |
1427142322 | Sharon Lynne Treston-magnacca | Podiatrist | 730 Main Street, Suite 1d, Millis, MA 02054 | 2006-10-03 |
1548299043 | Catherine Wood | Nutritionist | 128 Curve St, Millis, MA 02054 | 2006-06-30 |
1932444767 | Christina M O'keeffe | Speech-Language Pathologist | 214 Lake Street, Shrewsbury, MA 02054 | 2012-12-05 |
1184945099 | Jana Sieswerda | Acupuncturist | 840 Main St., Suite 111, Millis, MA 02054 | 2010-06-15 |
1104039395 | Westwood Physical Therapy Inc | Clinic/Center | 27 Millston Rd, Millis, MA 02054 | 2007-05-07 |
Find all providers in zip 02054 |
Taxonomy Code | 207RH0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology |
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
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 |
---|---|---|---|---|
1114018850 | Mary Paula Lutz | Internal Medicine | 200 West Street, Parexel International, Waltham, MA 02154 | 2006-09-27 |
1639181613 | Donald P Lawrence | Internal Medicine | 55 Fruit Street Yaw 9, Hematology Oncology, Boston, MA 02114 | 2006-08-11 |
1750329058 | Jacalyn M Rosenblatt | Internal Medicine | 330 Brookline Avenue, Ks-121, Beth Israel Deaconess Hospital, Boston, MA 02215 | 2006-06-02 |
1922066158 | Burt Alan Adelman | Internal Medicine | 14 Cambridge Center, Biogen Idec, Cambridge, MA 02142 | 2006-05-04 |
1972982650 | Johnathan Mack | Internal Medicine | 55 Fruit Street, Massachusetts General Hospital, Blood Bank, Grj-238, Boston, MA 02114 | 2015-05-27 |
1235537093 | Associated Physicians of Harvard Medical Faculty Physicians At Beth Is | Internal Medicine | 1 Wallace Bashaw Way, Suite 2001, Newburyport, MA 01950-3875 | 2014-12-10 |
1902217714 | Bwpo Dept of Medicine | Internal Medicine | 111 Cypress St, Brookline, MA 02445-6002 | 2014-05-14 |
1972945442 | Francois Mercier | Internal Medicine | 185 Cambridge St, Cpzn # 4400, Boston, MA 02114-2790 | 2013-07-24 |
1023457819 | Andrew Hantel | Internal Medicine | 450 Brookline Ave, Boston, MA 02215-5418 | 2013-06-14 |
1043555139 | Cindy Varga | Internal Medicine | 830 Harrison Ave, Boston, MA 02118-2905 | 2012-11-30 |
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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.