KENNETH M LEAVITT


Address: 125 Parker Hill Ave, Ste 390, Boston, MA 02120-2847
Phone: 6172773800

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MA 350273 05

Office Location

Street Address 125 PARKER HILL AVE
STE 390
City BOSTON
State MA
Zip Code 02120-2847

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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City BOSTON
Zip Code 02120

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Dataset Information

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.

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