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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD10753 | RI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | 9023992 | 05 | |
RI | RAILROAD MEDICARE | P00241153 | 01 |
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 |
Street Address |
1030 PRESIDENT AVE STE 306 |
City | FALL RIVER |
State | MA |
Zip Code | 02720-5923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
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 |
1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
Find all providers in zip 02720 |
Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
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/ |
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 |
Find all providers with the same taxonomy |
City | FALL RIVER |
Zip Code | 02720 |
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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.