MARINA KUPERMAN-BEADE


Address: 1030 President Ave Ste 306, Fall River, MA 02720-5923
Phone: 4017517546

MARINA KUPERMAN-BEADE (NPI# 1477572816) 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) 1477572816
Entity Type Individual
Full Name MARINA KUPERMAN-BEADE
Credential M.D., F.A.A.D.
Practice Address 1030 President Ave Ste 306
Fall River
MA 02720-5923
Mailing Address 1 Randall Square
Suite 306
Providence
RI 02904-2709
Practice Telephone 4017517546
Practice Fax Number 4017516888
Mailing Telephone 4017517546
Enumeration Date 2006-07-18
Last Update Date 2019-04-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
MD10753 RI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI 9023992 05
RI RAILROAD MEDICARE P00241153 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Randall Sq, Suite 306, Providence, RI 029042709 4017517546
3 Wake Robin Rd Unit 5, Lincoln, RI 028654208 4014759140 4014752808

Office Location

Street Address 1030 PRESIDENT AVE STE 306
City FALL RIVER
State MA
Zip Code 02720-5923

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1023537305 Rebekah Shermer Woolf Counselor 1082 Davol St., Fall River, MA 02720 2017-09-18
1467977843 Elena Amelia Cetola Nurse Practitioner 38 Rock St Ste 2, Fall River, MA 02720 2017-08-07
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1235537473 Desire Hendricksmoreno Counselor 279 North Main Street, Fall River, MA 02720 2014-12-19
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578176277 Dennis A Porto Md PC Dermatology 1 Maple St Ste 2, Milford, MA 01757-5614 2020-08-24
1619295847 Lara Kathryn Butler Dermatology One Scobee Circle, Unit 3, South Shore Skin Center, Plymouth, MA 02360 2010-05-12
1407905961 Greater Metrowest Dermsurgeons, LLC Dermatology 57 Providence Hwy, Norwood, MA 02062 2007-01-10
1295841138 Steven J Garrett Dermatology Mashpee Health Center, 5 Industrial Dr, Suite 109, Mashpee, MA 02649 2006-08-22
1932186772 Benjamin Arthur Solky Dermatology 160 Saint Botolph St, Boston, MA 02115-5119 2005-12-22
1518958297 Christine M Hayes Dermatology 33 Village Sq, Chelmsford, MA 01824-2712 2005-11-02
1518958289 Niels C. Krejci Dermatology 128 Carnegie Row, Norwood, MA 02062-5010 2005-11-02
1124014006 Stephen O. Kovacs Dermatology 77 Warren St., Suite 302, Brighton, MA 02135-3514 2005-09-26
1851860605 Nesc - Win-lah, LLC Dermatology 27 Village Square, Chelmsford, MA 01824 2018-11-21
1912454745 Steven P.smith, Md Dermatology 332 Washington St, Suite# 355, Wellesley Hills, MA 02481-6219 2016-09-09
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Competitor

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City FALL RIVER
Zip Code 02720

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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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