NIKOLAOS STATHATOS (NPI# 1497081616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
242408 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
15 FRUIT ST WANG ACC 730S |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952472243 | Leslie Anne Garrett | Obstetrics & Gynecology | 15 Fruit St, Yawkey 9e, Boston, MA 02114-2621 | 2006-11-10 |
| 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 Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| 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. |
| 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 | ||||
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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.