MS. EMMA PEDITTO (NPI# 1316421852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316421852 |
Entity Type | Individual |
Full Name | MS. EMMA PEDITTO |
Credential | PA-C |
Practice Address |
110 Francis St Ste 5a Boston MA 02215-5566 |
Practice Telephone | 6176327827 |
Enumeration Date | 2018-09-20 |
Last Update Date | 2018-09-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
PA6591 | MA | Allopathic & Osteopathic Physicians |
Street Address |
110 FRANCIS ST STE 5A |
City | BOSTON |
State | MA |
Zip Code | 02215-5566 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598907420 | Ryan Patrick Cauley | Plastic Surgery | 110 Francis St Ste 5a, Boston, MA 02215 | 2009-03-24 |
1770050007 | Alicia Kathleen Blythe | Nurse Practitioner | 110 Francis St Ste 5a, Boston, MA 02215-5566 | 2018-10-24 |
1386157519 | Monika Butkiewicz | Physician Assistant | 110 Francis St Ste 5a, Boston, MA 02215-5566 | 2017-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
Find all providers in zip 02215 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568584852 | Jeffrey H Lee | Surgery | 170 Commonwealth Avenue, St 112, Boston, MA 02116 | 2007-04-06 |
1013575091 | Jl Plastic Surgery, Inc. | Surgery | 170 Commonwealth Ave, Boston, MA 02116-2704 | 2019-06-04 |
1083176978 | Kimberly Khouri | Surgery | 75 Francis St, Boston, MA 02115-6110 | 2019-04-01 |
1568924389 | Tal Kaufman Goldberg | Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-04-01 |
1902338460 | University of Virginia | Surgery | 15 Parkman St, Boston, MA 02114-3117 | 2017-04-03 |
1811339120 | Oren Ganor | Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2013-07-28 |
1902243579 | Eleanor Tomczyk | Surgery | 15 Parkman St, Wang 435, Boston, MA 02114-3117 | 2013-05-23 |
1902249634 | Daniel Michael Balkin | Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2013-04-11 |
1093060642 | Mohamed Amir Mrad | Surgery | 55 Fruit St, Department of Plastic Surgery, Boston, MA 02114-2621 | 2012-07-19 |
1861747826 | Christopher Homsy | Surgery | 800 Washington St, Boston, MA 02111-1552 | 2012-07-16 |
Find all providers in BOSTON |
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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.