MR. SEAN CORBETT JR. (NPI# 1396139614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396139614 |
Entity Type | Individual |
Full Name | MR. SEAN CORBETT JR. |
Credential | PA-C |
Practice Address |
2100 Dorchester Ave Dorchester MA 02124-5615 |
Practice Telephone | 6175064444 |
Mailing Telephone | 6175064444 |
Enumeration Date | 2015-03-25 |
Last Update Date | 2019-01-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA5288 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
Lahey Clinic Inc, 41 Mall Road, Burlington, MA 01805 | 7817448000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740318682 | Sean T. Corbett | Urology | 1204 W Main St, Charlottesville, VA 22903-2824 | 2007-03-01 |
1629176268 | Sean Corbett | Nurse Anesthetist, Certified Registered | 718 Glenview Ave, Dept of Anesthesia, Highland Park, IL 60035-2432 | 2006-09-20 |
Street Address |
2100 DORCHESTER AVE |
City | DORCHESTER |
State | MA |
Zip Code | 02124-5615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457965998 | Linda Aguiar | Nurse Practitioner | 2100 Dorchester Ave, Dorchester, MA 02124-5666 | 2020-09-02 |
1306459128 | Ahmed Elsabbagh | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-08-31 |
1184233777 | Joseph Sarhan | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-07-29 |
1972121879 | Ashley Alexander | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-07-08 |
1699393785 | Fnu Sameeullah | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-07-06 |
1508483033 | Chinonso Nduaguba | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5666 | 2020-06-30 |
1760009583 | Harumi Esther Tokashiki Molina | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-06-26 |
1174140172 | Dennis Dwan | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-06-25 |
1073139176 | Emeka Agudile | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-06-24 |
1801412077 | Zachary James Carroll | Physical Therapist | 2100 Dorchester Ave, Dorchester, MA 02124-5666 | 2020-06-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
Find all providers in zip 02124 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
Find all providers with the same taxonomy |
City | DORCHESTER |
Zip Code | 02124 |
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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.