ANDREW DEAN ALEX MARSHALL (NPI# 1609257609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609257609 |
| Entity Type | Individual |
| Full Name | ANDREW DEAN ALEX MARSHALL |
| Credential | M.D. |
| Practice Address |
1 Deaconess Rd Fl 2 Boston MA 02215-5321 |
| Practice Telephone | 6177542320 |
| Mailing Telephone | 6177542400 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2019-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 274195 | MA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 125066914 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 Gove St, Boston, MA 021281920 | 6175695800 | |
| 123 Summer St, Worcester, MA 016081216 | 5083635000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710198296 | Andrew D Marshall | Dentist | 2067 Ygnacio Valley Rd, Walnut Creek, CA 94598-3301 | 2007-05-25 |
| 1710917265 | Andrew Christian Marshall | Dentist | 3295 Forney Street, Fort Jackson, SC 29207-5780 | 2006-07-03 |
| 1407846975 | Andrew Herod Marshall | Dentist | 110 Mcmurry Blvd, Hartsville, TN 37074-1108 | 2005-10-26 |
| 1588229470 | Andrew Marshall | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, New York, NY 10037-1889 | 2019-05-06 |
| 1386055713 | Andrew Wong Marshall | Radiology | 1430 Tulane Ave, Sl-50, New Orleans, LA 70112-2632 | 2014-05-20 |
| 1801846290 | Andrew Todd Marshall | Internal Medicine | 1800 Rockaway Ave, Suite 201, Hewlett, NY 11557 | 2006-05-10 |
| Street Address |
1 DEACONESS RD FL 2 |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184075426 | Christopher James Watson | Emergency Medicine | 1 Deaconess Rd Fl 2, Boston, MA 02215-5321 | 2016-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366947954 | Karrin Weisenthal | Emergency Medicine | 1 Boston Pl Rm 1322, Boston, MA 02108 | 2018-03-27 |
| 1942705884 | Jillian Britt Duffy | Emergency Medicine | 1 Boston Medical Ctr Pl Rm 1322, Boston, MA 02118 | 2018-03-23 |
| 1245760024 | Nicholas D. Kurtzman | Emergency Medicine | One Deaconess Road Rosenberg Building, 2nd Floor, Department of Emergency Medicine, Boston, MA 02215 | 2017-06-14 |
| 1942730007 | Alec John Koffer | Emergency Medicine | 1 Deaconess Rd Bldg 2nd, Boston, MA 02215-5321 | 2017-06-12 |
| 1124414446 | Alister Martin | Emergency Medicine | 75 Francis St # At, Boston, MA 02115-6110 | 2015-04-14 |
| 1699188524 | Vijay Christopher Kannan | Emergency Medicine | 1 Deaconess Road W/cc2, Boston, MA 02215 | 2014-06-09 |
| 1659798809 | Jonathan Van Ornam | Emergency Medicine | 75 Francis St # 236a, Boston, MA 02115-6110 | 2014-03-26 |
| 1871938597 | Christine Lee | Emergency Medicine | Department of Emergency Medicine, Beth Israel Deaconess, One Deaconess Road, Rosenberg Building 2, Boston, MA 02215-5321 | 2013-05-08 |
| 1497098149 | Andrew Perechocky | Emergency Medicine | 1 Boston Medical Center Place, Dowling 1 South Rm 1322, Boston Medical Center, Dept. of Emergency Medicine, Boston, MA 02118 | 2013-04-01 |
| 1124367727 | Morgan Carol Broccoli | Emergency Medicine | 751 Albany St, Boston Medical Center Menino Pavillion, Boston, MA 02118-2525 | 2013-02-04 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on ANDREW DEAN ALEX MARSHALL.
| 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.