DR. MIA M MACCOLLIN (NPI# 1437149093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437149093 |
| Entity Type | Individual |
| Full Name | DR. MIA M MACCOLLIN |
| Credential | MD |
| Practice Address |
149 13th St 6th Floor Cyn 149 6 Charlestown MA 02129-2020 |
| Mailing Address |
Po Box 9142 Charlestown MA 02129-9142 |
| Practice Telephone | 6177267856 |
| Practice Fax Number | 6177249620 |
| Mailing Telephone | 6177240287 |
| Mailing Fax Number | 6177262894 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208000000X | Pediatrics | 73495 | MA | Allopathic & Osteopathic Physicians |
| X | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
73495 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN | 727826 | 01 |
| MA | BCBS MA | J30964 | 01 |
| MA | 3131360 | 05 |
| Street Address |
149 13TH ST 6TH FLOOR CYN 149 6 |
| City | CHARLESTOWN |
| State | MA |
| Zip Code | 02129-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750912861 | Kelli Scarlett Devitte-mckee | Registered Nurse | 149 13th St, Charlestown, MA 02129-2020 | 2020-01-28 |
| 1700117975 | Daniel Elias Kaufmann | General Acute Care Hospital | 149 13th St, Ragon Institute, Mgh East, Room 5239, Charlestown, MA 02129-2020 | 2010-01-27 |
| 1831304112 | Miguel N Rivera | Medical Genetics | 149 13th St, Bldg 149, Room 7-101, Charlestown, MA 02129-2020 | 2007-05-11 |
| 1063522571 | Jian Kong | Acupuncturist | 149 13th St, Suite 2661, Charlestown, MA 02129-2020 | 2006-08-30 |
| 1760499149 | Carl R E Schwartz | Psychiatry & Neurology | 149 13th St, Building 149, Room 2627, Charlestown, MA 02129-2020 | 2006-08-01 |
| 1871551424 | Daphne J Holt | Psychiatry & Neurology | 149 13th St, Mgh East, Charlestown, MA 02129-2020 | 2006-05-03 |
| 1720052947 | Bruce Robert Rosen | Radiology | 149 13th St, 149 2301 Mgh Imaging Center, Charlestown, MA 02129 | 2006-02-14 |
| 1619954492 | Michael Andrew Jenike | Psychiatry & Neurology | 149 13th St, Obsessive Compulsive Disorders Unit, Charlestown, MA 02129-2020 | 2005-12-22 |
| 1508847716 | Roger K Pitman | Psychiatry & Neurology | 149 13th St, Cny 149 Ptsd Research Lab, Charlestown, MA 02129 | 2005-11-07 |
| 1336130871 | Sheryl Evelyn Stewart | Psychiatry & Neurology | 149 13th St, Charlestown, MA 02129-2020 | 2005-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875984 | Charles Clifford Engel Jr. | Psychiatry & Neurology | Home Base Program, Massachusetts General Hospital, 1 Constitution Road, Charlestown, MA 02129 | 2020-06-10 |
| 1033738489 | Boston Health & Wellness, LLC | Physical Therapist | 250 First Aveneue, #506, Charlestown, MA 02129 | 2020-04-15 |
| 1134693534 | Martavia Richardson | Behavior Technician | 25 Samuel Morse Way Apt 862, 862, Charlestown, MA 02129 | 2019-01-18 |
| 1669940847 | Erika Marie Lundgren | Social Worker | 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 | 2018-11-06 |
| 1558845602 | Christopher Wayne Manzano | Specialist/Technologist | 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 | 2018-09-24 |
| 1023503216 | Justin E Karr | Student in an Organized Health Care Education/Training Program | 79/96 Thirteenth Street, Mgh Charlestown, Charlestown, MA 02129 | 2018-06-29 |
| 1184140162 | Hakan Ay | Psychiatry & Neurology | Mass General Hospital, 13th Street, Building 149-2303, Charlestown, MA 02129 | 2017-08-21 |
| 1396271748 | Acra Care and Recovery Associates, LLC | Clinic/Center | 529 Main Street, Suite 217, The Schraffts Building, Power House, Charlestown, MA 02129 | 2017-05-04 |
| 1003267964 | Allison E White | Student in an Organized Health Care Education/Training Program | Mgh Charlestown Health Ctr, 73 High St, Charlestown, MA 02129 | 2016-06-22 |
| 1588025258 | Adrienne Senneville | Physical Therapist | 529 Main St., Charlestown, MA 02129 | 2016-03-09 |
| Find all providers in zip 02129 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033314646 | Erin Kathleen Mahoney Briones | Pediatrics | Charlestown Healthcare Center, 73 High Street, Charlestown, MA 02139-3026 | 2007-06-15 |
| 1164448106 | Katherine Altshul Darci | Pediatrics | 17 Mount Vernon St, Unit B, Charlestown, MA 02129-3410 | 2006-07-14 |
| 1417515354 | Stuart V Demirs Md LLC | Pediatrics | 4099 Old Post Rd, Charlestown, RI 02813-2553 | 2019-06-05 |
| 1194706853 | Ralph Edward Minear Jr. | Pediatrics | 73 High St, Ctn, Charlestown, MA 02129-3096 | 2005-11-09 |
| 1861483216 | Mariette Murphy | Pediatrics | 73 High St, Charlestown Healthcare Center, Charlestown, MA 02129-3026 | 2005-11-03 |
| 1750371860 | Nicholas Pepe | Pediatrics | 73 High St, Charlestown Healthcare Center, Charlestown, MA 02129-3026 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030720 | Mebe Massachusetts | Pediatrics | 51 Pleasant St # 1002, Malden, MA 02148-4904 | 2020-10-15 |
| 1801407564 | Catherine M. Vu Morrissey | Pediatrics | 451 Centre St, Milton, MA 02186-4118 | 2020-08-14 |
| 1962025379 | Elizabeth Mary Messineo | Pediatrics | 40 Greenhill Rd, Westwood, MA 02090-2704 | 2020-05-20 |
| 1639790280 | Allison Seats | Pediatrics | 265 Hyde Park Ave Apt 1rf, Boston, MA 02130-4222 | 2020-05-05 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1346871183 | Pm Pediatrics of New England | Pediatrics | 99 Commerce Way, Woburn, MA 01801-5199 | 2020-01-30 |
| 1346871381 | Heather Mccaslin Kempczinski | Pediatrics | 360 Beacon St Apt 1, Boston, MA 02116-1063 | 2020-01-29 |
| 1396388278 | Taylor Cinelli | Pediatrics | 203 John Scott Blvd, Norton, MA 02766-2616 | 2019-10-23 |
| 1972145290 | Lauren Nicole Mabe | Pediatrics | 45 Gordon St Apt 3, Allston, MA 02134-2458 | 2019-10-09 |
| 1417508946 | Devin Veronica Parker | Pediatrics | 2 Crescent St, Plympton, MA 02367-1400 | 2019-09-25 |
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| City | CHARLESTOWN |
| Zip Code | 02129 |
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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.