DR. TIMOTHY LAX (NPI# 1487810156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487810156 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY LAX |
| Credential | MD |
| Practice Address |
1 Brookline Pl Suite 623 Brookline MA 02445-7224 |
| Practice Telephone | 6172788100 |
| Mailing Telephone | 6172788100 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2015-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 248449 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
248449 | MA | Allopathic & Osteopathic Physicians |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
036120469 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICAL LICENSE NUMBER | 036120469 | 01 |
| MA | MEDICAL LICENSE | 248449 | 01 |
| Street Address |
1 BROOKLINE PL SUITE 623 |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02445-7224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925211 | Thomas D Shipp | Obstetrics & Gynecology | 1 Brookline Pl, Suite 506, Brookline, MA 02445-7224 | 2005-07-12 |
| 1477928125 | Bmfm LLC | Obstetrics & Gynecology | 1 Brookline Pl, Suite 301, Brookline, MA 02445-7224 | 2015-12-07 |
| 1912396870 | Leonard B Miller Md PC | Specialist | 1 Brookline Pl, Suite 427, Brookline, MA 02445-7224 | 2015-01-15 |
| 1346641503 | Frank Twarog Md Phd and Curtis Moody Md LLP | Allergy & Immunology | 1 Brookline Pl, Ste 424, Brookline, MA 02445-7224 | 2014-09-08 |
| 1700213253 | Lauren M Boccuzzi | Nurse Practitioner | 1 Brookline Pl, Suite 327, Brookline, MA 02445-7224 | 2013-09-30 |
| 1891034492 | Boston Maternal-fetal Medicine, LLC | Clinic/Center | 1 Brookline Pl, Suite 301, Brookline, MA 02445-7224 | 2013-02-04 |
| 1346588456 | Jacqueline Faye Croopnick, LLC | Obstetrics & Gynecology | 1 Brookline Pl, Suite 423, Brookline, MA 02445-7224 | 2013-01-24 |
| 1518205632 | Lafornara Inc | Obstetrics & Gynecology | 1 Brookline Pl, Suite 423, Brookline, MA 02445-7224 | 2013-01-24 |
| 1225383755 | Margaret Mirch Dyer | Nurse Practitioner | 1 Brookline Pl, Suite 327, Brookline, MA 02445 | 2012-07-20 |
| 1730455494 | Renee Rotman | Nurse Practitioner | 1 Brookline Pl, Suite 305, Brookline, MA 02445-7224 | 2012-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
| 1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
| 1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
| 1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
| 1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
| 1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
| 1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
| 1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
| 1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
| 1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
| Find all providers in zip 02445 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003891151 | Elliot Israel | Internal Medicine | 111 Cypress St, Brookline, MA 02445-6002 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902284029 | David Pyle | Internal Medicine | 275 Cambridge St Ste 530, Boston, MA 02114-3130 | 2015-05-08 |
| 1770552838 | Nora Amanda Barrett | Internal Medicine | 850 Boylston St, Suite 540, Chestnut Hill, MA 02467 | 2006-03-14 |
| 1649252065 | Oren Schaefer | Internal Medicine | 33 Oak Avenue, Worcester, MA 01605 | 2005-11-20 |
| 1972940138 | Amy Levin | Internal Medicine | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2013-05-29 |
| 1174966295 | Lacey Breena Robinson | Internal Medicine | 55 Fruit Street, Cox 201, Boston, MA 02114 | 2013-04-08 |
| 1689949935 | Sara Barmettler | Internal Medicine | 55 Fruit St, Boston, MA 02114-2621 | 2012-03-20 |
| 1811275506 | Zhenhong Li | Internal Medicine | 535 Faunce Corner Rd, Dartmouth, MA 02747 | 2011-07-28 |
| 1144419656 | Pulmonary, Critical Care and Allergy Associates, PC | Internal Medicine | 2014 Washington St, Newton, MA 02462-1607 | 2007-10-20 |
| 1851588693 | Morris Ling | Internal Medicine | 55 Fruit St, Cox 201, Boston, MA 02114-2621 | 2007-09-25 |
| 1649298050 | John B Hein | Internal Medicine | 260 Merrimac St, Newburyport, MA 01950-2192 | 2006-07-17 |
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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.