DR. ANITA NATHAN SHUKLA (NPI# 1508054248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508054248 |
| Entity Type | Individual |
| Full Name | DR. ANITA NATHAN SHUKLA |
| Other Name | ANITA NATHAN |
| Credential | MD |
| Practice Address |
97 Libbey Industrial Parkway, Suite 100 E. Weymouth MA 02189 |
| Practice Telephone | 7813313300 |
| Practice Fax Number | 7813318356 |
| Mailing Telephone | 7813313300 |
| Mailing Fax Number | 7813318356 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 246913 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS ASSOCIATED HEALTH PLAN | 764488 | 01 |
| MA | HARVARD PILGRIM | AA315305 | 01 |
| MA | MEDICARE | 002225402 | 01 |
| MA | 110089196A | 05 |
| Street Address |
97 LIBBEY INDUSTRIAL PARKWAY, SUITE 100 |
| City | E. WEYMOUTH |
| State | MA |
| Zip Code | 02189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205300985 | M. Taylor Fontneau | Nurse Practitioner | 90 Libbey Industrial Pkwy Ste 106, Weymouth, MA 02189 | 2019-01-16 |
| 1336668011 | Svetlana Chentsova | Nurse Practitioner | 51 Performance Dr Fl Drive, Weymouth, MA 02189 | 2017-09-14 |
| 1518487818 | Dana Shepherd | Specialist/Technologist | 163 Libbey Industrial Parkway, Suite 302, Weymouth, MA 02189 | 2017-06-27 |
| 1063867802 | Gerald F. Finerty IIi | Nurse Anesthetist, Certified Registered | 163 Libbey Pkwy Ste 301, Weymouth, MA 02189 | 2016-04-29 |
| 1417326604 | Ocean State Urgent Care | Physician Assistant | 119 Liberty Bell Cir, Weymouth, MA 02189 | 2015-09-18 |
| 1558746636 | Jaime Hill | Nurse Practitioner | 31 Charles Street, Weymouth, MA 02189 | 2015-07-30 |
| 1780865337 | James Tyler Carpenter | Psychologist | Neurobehavioral Associates, 169 Libbey Parkway, 2nd Floor, Weymouth, MA 02189 | 2007-11-23 |
| 1164618757 | Mahesh Pandey | Internal Medicine | Dana Farber Community Cancer Care, 51 Performance Drive, Suite 110, Weymouth, MA 02189 | 2007-09-18 |
| 1750573887 | Michele Donlon | Speech-Language Pathologist | 163 Libbey Industrial Pkwy Ste 302, Weymouth, MA 02189 | 2007-08-13 |
| 1174725998 | Mark J. Gorman | Psychologist | 51 Performance Dr., Weymouth, MA 02189 | 2007-06-04 |
| Find all providers in zip 02189 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023302445 | Veena Thomas Mathew | Ophthalmology | 97 Libbey Industrial Parkway, Suite 100, E. Weymouth, MA 02189 | 2011-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450903 | Barsam Vision Care LLC | Ophthalmology | 135 Beaver St Ste 309, Waltham, MA 02452-8412 | 2020-09-02 |
| 1629622188 | Nsea Whaipa LLC | Ophthalmology | 669 Main Street, Wakefield, MA 01880-5221 | 2019-08-01 |
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1083170047 | Gilbertlahey LLC | Ophthalmology | 101 Main St Ste 208, Medford, MA 02155-4530 | 2019-02-14 |
| 1467968149 | D'ambrosio Eye Care, Inc. | Ophthalmology | 255 Park Ave Ste 606, Worcester, MA 01609-1930 | 2017-12-18 |
| 1114436151 | Mohammad-hossein Mohammad-shahi | Ophthalmology | 330 Brookline Ave # Cc522, Boston, MA 02215-5400 | 2017-09-21 |
| 1366961120 | Boston Eye Care Center, LLC | Ophthalmology | 2464 Massachusetts Ave Ste 200, Cambridge, MA 02140 | 2017-09-13 |
| 1306360912 | Mary-magdalene Dodd | Ophthalmology | 300 Longwood Ave # 4, Boston, MA 02115-5724 | 2017-07-26 |
| 1861925703 | Medical Eye Care Associates, P.C. | Ophthalmology | 95 Chapel St Ste 1a, Norwood, MA 02062-3161 | 2017-04-07 |
| 1548619851 | Si-liang Peng | Ophthalmology | 1101 Beacon St Ste 6, Brookline, MA 02446-5585 | 2016-06-07 |
| Find all providers with the same taxonomy | ||||
| City | E. WEYMOUTH |
| Zip Code | 02189 |
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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.