KENNETH M LEAVITT (NPI# 1386672343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386672343 |
Entity Type | Individual |
Full Name | KENNETH M LEAVITT |
Credential | DPM |
Practice Address |
125 Parker Hill Ave Ste 390 Boston MA 02120-2847 |
Mailing Address |
67 Millbrook St. C/o Chm Worcester MA 01606-2835 |
Practice Telephone | 6172773800 |
Practice Fax Number | 6172773808 |
Mailing Telephone | 5087950009 |
Mailing Fax Number | 5087950393 |
Enumeration Date | 2006-06-29 |
Last Update Date | 2015-03-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
1680 | MA | Allopathic & Osteopathic Physicians |
Y | 213E00000X | Podiatrist | 1680 | MA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 350273 | 05 |
Street Address |
125 PARKER HILL AVE STE 390 |
City | BOSTON |
State | MA |
Zip Code | 02120-2847 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649896382 | Stephan C Bruni | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2020-06-18 |
1326675315 | Pdc Spine PC | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2020-03-27 |
1558911248 | Sara Flynn Gosselin | Pharmacist | 125 Parker Hill Ave, Boston, MA 02120 | 2019-09-16 |
1104486133 | Amanda Thomas | Pharmacist | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2019-06-20 |
1376021758 | Dawn Kalloch Murphy | Social Worker | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-30 |
1962980342 | Carla Susan Hill | Social Worker | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-30 |
1629555784 | Katherine Rose Bellanti | Registered Nurse | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-23 |
1184100802 | Ajb Orthopedics, Pllc | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-16 |
1346758380 | Michelle Anne Doherty | Nurse Practitioner | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-01-11 |
1508370974 | Ashley Margaret Wolusky | Nurse Practitioner | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2017-11-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083244735 | Alicia Hoffman | Occupational Therapist | 71 Alleghany Street, Boston, MA 02120 | 2020-01-22 |
1376193110 | Katherine Wiley | Student in an Organized Health Care Education/Training Program | 71 Allegheny Street, Boston, MA 02120 | 2019-09-13 |
1073171971 | Kyana Figueroa | Community/Behavioral Health | 4 Sussex St, Roxbury, MA 02120 | 2019-06-05 |
1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
1811424005 | Christopher Lim | Student in an Organized Health Care Education/Training Program | 1620 Tremont St, One Brigham Circle, Radiology Administration, Boston, MA 02120 | 2017-05-18 |
1609328178 | Nikhil A Sangave | Pharmacist | 1290 Tremont St Fl 3, Boston, MA 02120 | 2016-10-31 |
1417232968 | Hrc Corp Inc | Pharmacy | 201 Humboldt Avenue, Dorchester, MA 02120 | 2011-10-17 |
1689957722 | Hrd Corp, Inc | Pharmacy | 201 Humboldt Ave, Dorchester, MA 02120 | 2011-09-26 |
1841580453 | Alessandro Villa | Dentist | 1620 Tremont Street, Suite Bc-3-028, Division of Oral Medicine & Dentistry Bwh, Boston, MA 02120 | 2011-04-15 |
1043446859 | Sara King | Internal Medicine | 1290 Tremont Street, Boston, MA 02120 | 2009-06-08 |
Find all providers in zip 02120 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306138086 | Daphne Robert | Podiatrist | 732 Harrison Ave Bldg 5th, Boston, MA 02118-2309 | 2011-05-12 |
1285666222 | Millard Thomas Hennessee | Podiatrist | 654 E Broadway, Boston, MA 02127-1502 | 2006-07-07 |
1487644936 | Carol A Divaio | Podiatrist | 55 Fruit St Yaw 3056, Podiatry Group, Boston, MA 02114-2696 | 2005-10-26 |
1285623694 | David E. Negron | Podiatrist | 732 Harrison Avenue, Preston 5th Floor, Boston, MA 02118 | 2005-10-18 |
1356339949 | Judy Beth Hurwitz | Podiatrist | 66 Charles St, #528, Boston, MA 02114-4604 | 2005-10-08 |
1558353714 | David Agoada | Podiatrist | 133 Brookline Ave., Hvma, Boston, MA 02215 | 2005-08-15 |
1407854094 | Adam Scott Landsman | Podiatrist | 55 Fruit Street, Dept. of Orthopaedics/podiatry Service, Boston, MA 02114-2696 | 2005-07-08 |
1538791892 | Seniorwell Pod of Massachusetts LLC | Podiatrist | 75 Arlington St Ste 500, Boston, MA 02116-3936 | 2020-02-05 |
1023672979 | Lowell Tong | Podiatrist | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2019-04-25 |
1689026023 | Gurneet Khangura | Podiatrist | 55 Fruit St, Yawkey 3f, Boston, MA 02114-2621 | 2016-07-11 |
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.