CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION (NPI# 1417161712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417161712 |
| Entity Type | Organization |
| Organization Name | CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION |
| Practice Address |
1493 Cambridge St Cambridge MA 02139-1047 |
| Practice Telephone | 6176651000 |
| Mailing Telephone | 6176651000 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVE PORELL (CAO) |
| Authorized Official Telephone | 6174996621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2081H0002X |
Physical Medicine & Rehabilitation Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| X | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| X | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| X | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| X | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| X | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| X | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| X | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS LEGACY GROUP NUMBER | M15404 | 01 |
| MA | 9779043 | 05 | |
| MA | 9779159 | 05 | |
| MA | BCBS LEGACY GROUP NUMBER | M18077 | 01 |
| Street Address |
1493 CAMBRIDGE ST |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02139-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590950 | Blake Cady | Surgery | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2005-07-05 |
| 1144821349 | Christina Marie Harris | Speech-Language Pathologist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-11-04 |
| 1558961128 | Rose M Jacob | Registered Nurse | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-10-31 |
| 1174122360 | Emilee Grace Abraham | Speech-Language Pathologist | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2020-10-20 |
| 1790384964 | Jillian Christine Fernandez | Occupational Therapist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-10-20 |
| 1447859624 | Ryan J Wallace | Pharmacist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-10-20 |
| 1376141606 | Angela Gonzalez | Registered Nurse | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-10-09 |
| 1669079646 | Ashley Simmons | Occupational Therapist | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2020-10-03 |
| 1831706159 | Valerie Anne Roberson | Registered Nurse | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2020-09-30 |
| 1578170809 | Deborah Lee Trujillo | Licensed Practical Nurse | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2020-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
| 1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
| 1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| 1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
| Find all providers in zip 02139 | ||||
| Taxonomy Code | 2081H0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Hospice and Palliative Medicine |
| A physical medicine and rehabilitation physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437350683 | Elizabeth Roaf Md | Physical Medicine & Rehabilitation | 189 May Street, Worcester, MA 01602 | 2007-05-29 |
| 1184834434 | Healing Choices, PC | Physical Medicine & Rehabilitation | 89 Main St, Suite 112, Medway, MA 02053-1828 | 2007-05-23 |
| 1154544377 | Edward Thomas O'neil | Physical Medicine & Rehabilitation | 70 East Street, Holy Family Hospital, Methuen, MA 01950 | 2007-04-10 |
| 1760505309 | Pamela Marron | Physical Medicine & Rehabilitation | 70 East St, Holyfamilyhospital, Methuen, MA 01844 | 2007-04-09 |
Please comment or provide details below to improve the information on CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION.
| 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.