DR. MARTIN CHARLES MIHM JR. (NPI# 1528045309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528045309 |
| Entity Type | Individual |
| Full Name | DR. MARTIN CHARLES MIHM JR. |
| Credential | MD |
| Practice Address |
41 Avenue Louis Pasteur Alumnae Hall, Room 317 Boston MA 02115-5727 |
| Practice Telephone | 6172645910 |
| Practice Fax Number | 6172643021 |
| Mailing Telephone | 6172645910 |
| Mailing Fax Number | 6172643021 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2012-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 28329 | MA | Allopathic & Osteopathic Physicians |
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
28329 | MA | Allopathic & Osteopathic Physicians |
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
28329 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS MA | M08229 | 01 |
| MA | 2049724 | 05 | |
| MA | TUFTS HEALTH PLAN | 701618 | 01 |
| Street Address |
41 AVENUE LOUIS PASTEUR ALUMNAE HALL, ROOM 317 |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912303462 | Hilary Charlotte Burke | Pharmacist | 41 Avenue Louis Pasteur, Suite 216, Boston, MA 02115-5727 | 2014-11-11 |
| 1659704344 | Bridget Chisholm | Pharmacist | 41 Avenue Louis Pasteur, Suite 218, Boston, MA 02115-5727 | 2013-08-16 |
| 1831531912 | Brigham & Women's Hospital | General Acute Care Hospital | 41 Avenue Louis Pasteur, Suite.218, Boston, MA 02115-5727 | 2013-07-18 |
| 1265774202 | Jensen Varghese | Pharmacist | 41 Avenue Louis Pasteur, Suite 216, Boston, MA 02115-5727 | 2013-03-16 |
| 1245591551 | Nicholas Feola | Pharmacist | 41 Avenue Louis Pasteur, Suite 216, Boston, MA 02115-5727 | 2012-06-04 |
| 1023380029 | Michael Ehle | Pharmacist | 41 Avenue Louis Pasteur, Suite 216, Boston, MA 02115-5727 | 2012-02-07 |
| 1194020925 | Nicole Ann Speredelozzi Conti | Pharmacist | 41 Avenue Louis Pasteur, Suite 216, Boston, MA 02115-5727 | 2011-01-26 |
| 1164734703 | David Harris Appel | Pharmacist | 41 Avenue Louis Pasteur, Suite 218, Boston, MA 02115-5727 | 2010-07-12 |
| 1558527762 | Joel Brett Krier | Internal Medicine | 41 Avenue Louis Pasteur, Suite 301, Boston, MA 02115-5727 | 2008-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| 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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073648069 | Skin Pathology Laboratory, Inc. | Dermatology | 609 Albany St Fl 3, Boston, MA 02118-2515 | 2007-02-22 |
| 1649372046 | Nancy Naguib | Dermatology | 150 S Hungtington Steet, Boston, MA 02130 | 2006-09-05 |
| 1932493053 | Whitney Lynn Tolpinrud | Dermatology | 75 Francis St, Boston, MA 02115-6110 | 2011-06-06 |
| 1730281296 | Miguel J Stadecker | Dermatology | 750 Washington St, Nemc Box 836, Boston, MA 02111-1526 | 2006-09-03 |
| 1073563698 | Lyn Mcdivitt Duncan | Dermatology | 55 Fruit St, Wrn 825, Boston, MA 02114 | 2006-05-12 |
| 1376532853 | Boston University Dermatology, Inc. | Dermatology | 725 Albany St, Shapiro Building, 8th Floor, Boston, MA 02118-2526 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689944811 | Nantucket Dermatology, LLC | Dermatology | 4.5 Bartlett Rd, Nantucket, MA 02554 | 2012-01-04 |
| 1730287699 | Cape Cod Dermatopathology | Dermatology | 129 Airport Rd, Unit # 6, Hyannis, MA 02601-1856 | 2006-09-21 |
| 1871562363 | Lisa Harbury Lerner | Dermatology | 320 Needham St, Suite 200, Newton, MA 02464-1592 | 2006-03-16 |
| 1477522910 | Cohen Dermatopathology, P.C. | Dermatology | 15 Crawford Street, Suite 100, Needham, MA 02494 | 2006-03-16 |
| 1043206527 | Elsa Velazquez | Dermatology | 15 Crawford St Ste 100, Needham, MA 02494-2618 | 2005-09-21 |
| 1497256317 | Goldberg Dermatology, LLC | Dermatology | 990 Paradise Rd, Swampscott, MA 01907-1395 | 2018-02-26 |
| 1992017230 | Katherine Fening | Dermatology | 1101 Beacon St, Suite 1e, Brookline, MA 02446-5587 | 2010-07-01 |
| 1619986114 | Karen C. Mitchell | Dermatology | 340 Maple St, Suite 203, Marlborough, MA 01752-3200 | 2006-08-05 |
| 1255370904 | Yvonne C Hines | Dermatology | 555 Pleasant St, Suite 106, Attleboro, MA 02703-2400 | 2006-06-06 |
| 1275589624 | Dermatopath Lab, Inc. | Dermatology | 555 Pleasant St, Suite 106, Attleboro, MA 02703-2400 | 2006-05-26 |
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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.