KIRTIKANT P KANTESARIA (NPI# 1336165968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336165968 |
| Entity Type | Individual |
| Full Name | KIRTIKANT P KANTESARIA |
| Credential | MD |
| Practice Address |
40 Wright St Palmer MA 01069-1138 |
| Practice Telephone | 4132845400 |
| Practice Fax Number | 4132845114 |
| Mailing Telephone | 4132837651 |
| Mailing Fax Number | 4132845117 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 48473 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 9748284 | 05 | |
| BLUE CROSS BLUE SHIELD | N01963 | 01 | |
| UNITED HEALTHCARE | 1000252 | 01 | |
| CIGNA | 10035501 | 01 | |
| HEALTHSOURCE CMHC | 4390336 | 01 | |
| TUFTS COMMUNITY HEALTH PL | 048473 | 01 | |
| HARVARD PILGRIM | 19528 | 01 | |
| NETWORK HEALTH | 984960 | 01 | |
| FALLON COMMUNITY HEALTH P | 1428 | 01 |
| Street Address |
40 WRIGHT ST |
| City | PALMER |
| State | MA |
| Zip Code | 01069-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031354 | Jonathan H Marsh | Internal Medicine | 40 Wright St, Palmer, MA 01069-1138 | 2005-05-23 |
| 1285146498 | Mary Charlotte Guertin | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2017-10-27 |
| 1891204475 | Lea A Grippin | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2017-09-26 |
| 1497272397 | Grace A Lavalley | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2017-08-23 |
| 1093247918 | Zachary C. Demma | Emergency Medicine | 40 Wright St, Palmer, MA 01069-1138 | 2017-03-30 |
| 1750838579 | Kyrsten Belini | Student in an Organized Health Care Education/Training Program | 40 Wright St, Palmer, MA 01069-1138 | 2016-09-09 |
| 1487101507 | Meghan Krasnow | Student in an Organized Health Care Education/Training Program | 40 Wright St, Palmer, MA 01069-1138 | 2016-09-07 |
| 1932552858 | Michael Joseph Fine | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2016-07-15 |
| 1295183614 | Gil Shay | Internal Medicine | 40 Wright St, Palmer, MA 01069-1138 | 2016-05-26 |
| 1861856833 | Alexandra Pessolano | Counselor | 40 Wright St, Palmer, MA 01069-1138 | 2016-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979328 | Jacqueline Pahl | Social Worker | 11 Oakland St., Palmer, MA 01069 | 2018-10-24 |
| 1891277240 | Katherine Beliveau | Developmental Therapist | 1581 N. Main Street, Palmer, MA 01069 | 2018-09-02 |
| 1730606740 | Jordan Elizabeth Pike | Physician Assistant | 40 Wirght, Palmer, MA 01069 | 2017-08-30 |
| 1265880405 | Brittany Ford | Specialist/Technologist | 4105 Main St, Palmer, MA 01069 | 2016-05-27 |
| 1417263021 | Deborah Lee Stroetzel I | Audiologist-Hearing Aid Fitter | 40 Wright St., Palmer, MA 01069 | 2010-08-20 |
| 1063635399 | Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | Monson Dev Cntr, 175 State Ave, Palmer, MA 01069 | 2007-04-11 |
| 1124149273 | Pruushotam Puri | Surgery | Wright Street, Palmer, MA 01069 | 2007-04-03 |
| 1679582019 | Richard Michael Gondek | Dentist | 1436 Main St, Palmer, MA 01069 | 2006-08-05 |
| 1083649222 | Jessica R Senecal-bennett | Social Worker | 42 Wright St, Palmer, MA 01069 | 2006-07-12 |
| 1396770632 | Daniel Shapiro | Social Worker | Wing Memorial Hospital Griswold Center, 40 Wright Street, Palmer, MA 01069 | 2006-07-12 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386628022 | David B Wexler | Otolaryngology | 40 Wright Street, Palmer, MA 01069-1138 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215497938 | Emily Gall | Otolaryngology | 860 Washington St Fl 1, Boston, MA 02111-1521 | 2019-03-20 |
| 1538628789 | Pratima Agarwal | Otolaryngology | 800 Harrison Avenue, Bcd 5th Floor, Boston, MA 02118 | 2019-03-18 |
| 1669945887 | Meea-cape Cod Pho LLC | Otolaryngology | 5 Industrial Dr Ste 201, Mashpee, MA 02649-3465 | 2019-01-10 |
| 1184118564 | Massachusetts Ent Consultants LLC | Otolaryngology | 100 Sylvan Rd Ste 750, Woburn, MA 01801-1852 | 2018-06-19 |
| 1497259212 | Michal Plocienniczak | Otolaryngology | 830 Harrison Ave Fl 1, Boston, MA 02118-2905 | 2018-03-19 |
| 1124479282 | Jordan Glicksman | Otolaryngology | 104 Endicott St Ste 100, Danvers, MA 01923-3623 | 2016-06-29 |
| 1396158507 | Erin Haser | Otolaryngology | 800 Washington St # 850, Department of Otolaryngology, Boston, MA 02111-1552 | 2014-06-05 |
| 1447675152 | Taleb Barghouthi | Otolaryngology | 300 Longwood Venue, Boston Children's Hospital, Boston, MA 02115 | 2014-03-04 |
| 1538507512 | Ameer Trilok Shah | Otolaryngology | 35 Pearl St Ste 200, Brockton, MA 02301 | 2013-06-12 |
| 1932442662 | Scott Finlay | Otolaryngology | 3 Meeting House Rd Ste 23and24, Chelmsford, MA 01824 | 2013-04-01 |
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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.