NIKOLAOS STATHATOS


Address: 15 Fruit St, Wang Acc 730s, Boston, MA 02114-2621
Phone: 6177263872

NIKOLAOS STATHATOS (NPI# 1497081616) 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) 1497081616
Entity Type Individual
Full Name NIKOLAOS STATHATOS
Other Name NIKOLAOS A STATHATOS
Credential M.D.
Practice Address 15 Fruit St
Wang Acc 730s
Boston
MA 02114-2621
Practice Telephone 6177263872
Practice Fax Number 6177265905
Mailing Telephone 6177263872
Mailing Fax Number 6177265905
Enumeration Date 2009-10-22
Last Update Date 2011-03-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
242408 MA Allopathic & Osteopathic Physicians

Office Location

Street Address 15 FRUIT ST
WANG ACC 730S
City BOSTON
State MA
Zip Code 02114-2621

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952472243 Leslie Anne Garrett Obstetrics & Gynecology 15 Fruit St, Yawkey 9e, Boston, MA 02114-2621 2006-11-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588276281 Guoliang Qiao Student in an Organized Health Care Education/Training Program Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 2020-08-24
1881223741 Alexander Wesley Zirulnik Student in an Organized Health Care Education/Training Program 55 Fruit St. Boston, Boston, MA 02114 2020-04-03
1376170548 Mia Yu Bothwell Student in an Organized Health Care Education/Training Program Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 2020-03-26
1225661036 David Dongkyung Kim Student in an Organized Health Care Education/Training Program 6 Whittier Place, Apartment 15b, Boston, MA 02114 2020-02-20
1124651658 Madeleine Sertic Student in an Organized Health Care Education/Training Program Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 2020-02-12
1285274498 Jiuk James Jung Student in an Organized Health Care Education/Training Program 15 Parkman Ave, Wang 4-460, Boston, MA 02114 2020-01-15
1831740448 Jennifer Hughes Physician Assistant 55 Fruit Street, Founders 110, Boston, MA 02114 2019-09-25
1558827220 Aluma Chovel Sella Student in an Organized Health Care Education/Training Program Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 2019-02-18
1083187140 Henry Oliveras Massage Therapist 102 Charles Street, Boston, MA 02114 2019-01-10
1720550031 Nicole M Price Social Worker 29 Staniford St, Boston, MA 02114 2018-12-27
Find all providers in zip 02114

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447604590 Denise H. Wong Internal Medicine 720 Harrison Ave Ste 8100, Boston, MA 02118-2371 2016-04-14
1518334515 Stephany Khalil Matta Internal Medicine 75 Kneeland St Lbby 5, Boston, MA 02111-1906 2015-08-25
1972982205 Karen Mccloskey Internal Medicine 110 Francis St Ste 6a, Boston, MA 02215-5501 2015-05-19
1568873230 Eric David Nolen-doerr Internal Medicine 720 Harrison Ave Ste 801, Boston, MA 02118-2326 2014-05-15
1770809147 Sylvia Kehlenbrink Oh Internal Medicine 221 Longwood Avenue, Rfb-2, Bwh, Endocrinology, Diabetes and Hypertension, Boston, MA 02115 2010-04-10
1164746178 Courtney Nagel Sandler Internal Medicine 221 Longwood Ave # Rfb2, Boston, MA 02115-5804 2010-03-19
1265767263 Joel F Habener Internal Medicine Mgh Lab Endocrine, 55 Fruit St. Wellman 306, Boston, MA 02114 2009-10-08
1972741866 Melanie Schorr Haines Internal Medicine Zero Emerson Place, Suite 112, Neuroendocrine Clinical Center, Boston, MA 02114 2009-01-30
1689833386 Adi Barlev-ehrenberg Internal Medicine 221 Longwood Ave Fl 2, Brigham & Women's Hospital, Dept. of Endocrinology, Boston, MA 02115-5804 2008-06-06
1699896753 Michael Rosenblatt Internal Medicine Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA 02111-1800 2007-04-03
Find all providers in BOSTON

Competitor

Search similar providers

City BOSTON
Zip Code 02114

Improve Information

Please comment or provide details below to improve the information on NIKOLAOS STATHATOS.

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.

Trending Searches