DR. JOHN TULLY (NPI# 1578565974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578565974 |
| Entity Type | Individual |
| Full Name | DR. JOHN TULLY |
| Credential | MD |
| Practice Address |
330 Mount Auburn St South 2 Cambridge MA 02138-5502 |
| Mailing Address |
330 Mount Auburn St S2 Cambridge MA 02138-5502 |
| Practice Telephone | 6174995026 |
| Practice Fax Number | 6174995453 |
| Mailing Telephone | 6174995026 |
| Mailing Fax Number | 6174995453 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2009-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
41188 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2060825 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265619993 | John Owen Tully | Internal Medicine | 7580 Northcliff Ave Ste 1000, Brooklyn, OH 44144-3271 | 2008-01-24 |
| 1992964563 | John Patrick Tully | Physician Assistant | 17979 Ne Glisan St, Portland, OR 97230-6507 | 2008-06-08 |
| 1548468499 | John M Tully | Social Worker | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-07-03 |
| 1356335772 | John Tully | Emergency Medicine | 111 Dallas St, Emergency Room, San Antonio, TX 78205-1201 | 2005-08-31 |
| Street Address |
330 MOUNT AUBURN ST SOUTH 2 |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859762 | Susan A Abookire | Internal Medicine | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2005-05-31 |
| 1013515279 | Alaaeldin Ahmed | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5597 | 2020-10-10 |
| 1447863618 | Omar Hamzeh Al Omari | Internal Medicine | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-08-27 |
| 1043833221 | Nicholas D Gottshall | Physician Assistant | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-22 |
| 1881217263 | Claire C Alexanian | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5597 | 2020-05-20 |
| 1689297087 | Arun Cumpelik | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-20 |
| 1104448125 | Alireza Ghajar | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-13 |
| 1902427768 | Alexis Sholtis | Social Worker | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-04 |
| 1043839814 | Max Joseph Wallack | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-04-13 |
| 1821617010 | Hezha Seradji Aghdam | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1538326996 | Eirini Iliaki | Internal Medicine | 45 Roberts Rd, Cambridge, MA 02138-3227 | 2008-05-21 |
| 1730283607 | Fatemeh Entekhabi | Internal Medicine | 2 Chestnut St, #24, Cambridge, MA 02139-4847 | 2006-09-12 |
| 1699733568 | Thomas G Evans | Internal Medicine | 100 Technology Sq, Cambridge, MA 02139-3585 | 2006-05-02 |
| 1619296027 | Alison Beth Hughes Rapoport | Internal Medicine | 1493 Cambridge St, Cambridge Health Alliance, Cambridge, MA 02139-1047 | 2010-05-25 |
| 1902001886 | Longfellow Primary Care, PC | Internal Medicine | 625 Mount Auburn St, Suite 101a, Cambridge, MA 02138-4555 | 2007-06-19 |
| 1770698821 | Michael V Callahan | Internal Medicine | 65 Landsdowne St, Cambridge, MA 02139-4232 | 2006-08-20 |
| 1073550729 | David H Bor | Internal Medicine | 1493 Cambridge St, Macht Building, Cambridge, MA 02139-1047 | 2006-06-01 |
| 1629043245 | Stephen Zinner | Internal Medicine | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2006-02-17 |
| 1780686154 | Vito Iacoviello | Internal Medicine | 330 Mount Auburn St, South 2, Cambridge, MA 02138-5502 | 2005-08-15 |
| 1285636654 | Lin Chen | Internal Medicine | 330 Mount Auburn St, South 2, Cambridge, MA 02138-5502 | 2005-08-15 |
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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.