SAMUEL JOSEPH ANDONIAN (NPI# 1326065384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326065384 |
| Entity Type | Individual |
| Full Name | SAMUEL JOSEPH ANDONIAN |
| Credential | MD |
| Practice Address |
16 Clarke St Lexington MA 02421-4948 |
| Practice Telephone | 7818623218 |
| Practice Fax Number | 7818620805 |
| Mailing Telephone | 7818623218 |
| Mailing Fax Number | 7818620805 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208000000X | Pediatrics | 37648 | MA | Allopathic & Osteopathic Physicians |
| X | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
37648 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2025698 | 05 | |
| MA | BSBS 20465 MASS | D28132 | 01 |
| MA | TUFTS | 037648 | 01 |
| Street Address |
16 CLARKE ST |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02421-4948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659343580 | Charles J Slagen | Psychologist | 16 Clarke St, Suite 21, Lexington, MA 02421-4988 | 2006-02-04 |
| 1841591740 | Clarke Street Family Dental LLC | Dentist | 16 Clarke St, Lexington, MA 02421-4988 | 2010-11-08 |
| 1104143171 | Silva Andonyan | Dentist | 16 Clarke St, Lexington, MA 02421 | 2010-04-29 |
| 1003143371 | Stephanie A. Dumas | Specialist | 16 Clarke St, Suite 13, Lexington, MA 02421-4988 | 2009-11-07 |
| 1285887083 | Kristin Fehlauer | Social Worker | 16 Clarke St, Lexington, MA 02421-4988 | 2008-10-24 |
| 1518143148 | Cindy H. Carroll | Dietitian, Registered | 16 Clarke St, Lexington, MA 02421-4988 | 2008-01-14 |
| 1184818924 | Hope Psychological Services | Social Worker | 16 Clarke St, Suite 21, Lexington, MA 02421-4988 | 2007-09-05 |
| 1851581326 | Tamie T Bilazzo | Acupuncturist | 16 Clarke St, Suite B-5, Lexington, MA 02421-4988 | 2007-07-30 |
| 1497880207 | Eric Enrico Guardino | Internal Medicine | 16 Clarke St, Unit B4, Lexington, MA 02421-4988 | 2007-02-22 |
| 1740324987 | Hana M Laznickova | Allergy & Immunology | 16 Clarke St, Lexington, MA 02421-4988 | 2007-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149300 | Streettherapy,llc | Counselor | Triad Adolescent Services, 363 Mass. Ave., Suite204, Lexington, MA 02421 | 2019-11-20 |
| 1598249922 | Kelly Sexton | Social Worker | Labbb Collaborative Lexington High School, 251 Waltham St, MA 02421 | 2018-09-21 |
| 1538641956 | Jill Or Planeta | Social Worker | 40 Taft Ave, Lexington, MA 02421 | 2018-09-01 |
| 1902390388 | Erika Yaneth Valek | Counselor | 125 Hartwell Avenue, Lexington, MA 02421 | 2018-06-19 |
| 1366743668 | Elizabeth Ann Murphy | Social Worker | 17 Stedman Rd, Lexington, MA 02421 | 2010-11-03 |
| 1003045063 | Nils Becker | Pathology | 1 Cranberry Hill Ste 303, Lexington, MA 02421 | 2009-07-10 |
| 1780829556 | Lynn Joan Meltzer | Psychologist | Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 | 2008-12-09 |
| 1962666511 | Kristin Stanley Rullo | Optometrist | 21 Worthen Road, Lexington, MA 02421 | 2008-07-14 |
| 1861660201 | Jillian S Imagire | Radiology | Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 | 2008-02-20 |
| 1144498049 | Lexington Dental Associates | Dentist | 271 Lincoln Street, Suite 2, Lexington, MA 02421 | 2008-02-13 |
| Find all providers in zip 02421 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1407218589 | Caitlyn Anglin | Pediatrics | University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 | 2016-03-28 |
| 1497117667 | Frances Michelle Curran | Pediatrics | 800 Rose St Rm Mn-118, Lexington, KY 40536-0298 | 2016-03-25 |
| 1073995908 | John Stone | Pediatrics | Pediatric Residency Program Uk 800 Rose St, Mn472, Lexington, KY 40536-0293 | 2015-06-27 |
| 1346621042 | Nina Azer Salfity | Pediatrics | 800 Rose St Rm Mn-472, Lexington, KY 40536-0293 | 2015-06-18 |
| 1417334103 | William Douglas Hacker | Pediatrics | 4856 Pleasant Grove Road, Lexington, KY 40515 | 2015-05-01 |
| 1235525957 | Carl Wayne Dowden | Pediatrics | 740 S Limestone Ste J201, Lexington, KY 40536-7001 | 2015-04-09 |
| 1861808271 | Rucha Shukla | Pediatrics | 138 Leader Ave Rm 9a, Lexington, KY 40508 | 2014-07-07 |
| 1184030983 | Anna Caitlynn Iddings | Pediatrics | 800 Rose Street Mn118, Lexington, KY 40536-0001 | 2014-07-01 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on SAMUEL JOSEPH ANDONIAN.
| 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.