MICHAEL H. FATTAL


Address: 54 Baker Avenue Ext, Suite 303, Concord, MA 01742-2137
Phone: 9783698780

MICHAEL H. FATTAL (NPI# 1679756704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679756704
Entity Type Individual
Full Name MICHAEL H. FATTAL
Credential M.D,
Practice Address 54 Baker Avenue Ext
Suite 303
Concord
MA 01742-2137
Practice Telephone 9783698780
Practice Fax Number 9783691043
Mailing Telephone 9783698780
Mailing Fax Number 9783691043
Enumeration Date 2007-12-12
Last Update Date 2012-07-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Y00000X Otolaryngology 246526 MA Allopathic & Osteopathic Physicians
Y 207YS0123X Otolaryngology
Specialization: Facial Plastic Surgery
246526 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 110089465A 05

Office Location

Street Address 54 BAKER AVENUE EXT
SUITE 303
City CONCORD
State MA
Zip Code 01742-2137

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154325090 Aldona Finkle Internal Medicine 54 Baker Avenue Ext, Suite 301, Concord, MA 01742-2137 2005-06-09
1285097436 Caitlin Rhys Hackford Physician Assistant 54 Baker Avenue Ext, Suite 101, Concord, MA 01742-2137 2016-04-04
1730421348 Lebron A Saulter Physician Assistant 54 Baker Avenue Ext, Suite 101, Concord, MA 01742-2137 2013-03-21
1306187471 Margaret R Hunter Physician Assistant 54 Baker Avenue Ext, Suite 200, Concord, MA 01742-2137 2013-03-13
1952626350 John David Cahoy Orthopaedic Surgery 54 Baker Avenue Ext, Suite 200, Concord, MA 01742-2137 2010-03-30
1235363342 Laura Michelle Doyon Surgery 54 Baker Avenue Ext, Suite 101, Concord, MA 01742-2137 2009-05-05
1639318348 Concord Sleep Associates LLC Internal Medicine 54 Baker Avenue Ext, Ste 301, Concord, MA 01742-2137 2009-02-19
1679736110 Jennifer Setlur Otolaryngology 54 Baker Avenue Ext, Suite 303, Concord, MA 01742-2137 2008-07-03
1982820874 Aldona Finkle, Md, PC Internal Medicine 54 Baker Avenue Ext, Suite 301, Concord, MA 01742-2137 2007-04-18
1083765036 Anca Goller Internal Medicine 54 Baker Avenue Ext, Suite 201, Concord, MA 01742-2137 2007-01-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528674348 Camille Arcidi Dentist 747 Main Street, Suite 221, Concord, MA 01742 2020-09-17
1851916936 Paige Hamilton-read Psychologist 333 Thoreau Street, Concord, MA 01742 2020-06-14
1467926113 Judith Segal Psychologist 844 Sudbury Road, Concord, MA 01742 2019-01-16
1316422983 Lisa Colagiovanni Social Worker 54 Hillside Ave., Concord, MA 01742 2018-09-30
1932699907 Margaret C O'hearn-curran Psychologist 178 Silver Hill Rd, Concord, MA 01742 2018-05-15
1205358678 Eva Moen Pharmacist 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 2017-07-07
1215475421 Hengameh Lavasanifar Pharmacist Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 2017-02-08
1255882684 Stephanie Randazzo Counselor 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 2016-10-20
1871943704 Marjorie E. Cahn Social Worker 634 Walden Street, Concord, MA 01742 2016-06-22
1063873842 Beth Israel Lahey Health Primary Care, Inc. Internal Medicine 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 2016-03-08
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Taxonomy Information

Taxonomy Code 207YS0123X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Facial Plastic Surgery

Taxonomy Definition

An otolaryngologist who specializes in facial plastic surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952348492 Francis P. J. Langford Otolaryngology 645 Amalia St Ne, Concord, NC 28025-2434 2006-06-01
1962535252 Cabarrus Ear Nose Throat & Facial Surgery Center Pa Otolaryngology 1018 Lee Ann Dr Ne, Concord, NC 28025-2911 2007-03-14
1629114137 Robert Clayton Jarchow Otolaryngology 1018 Lee Ann Dr Ne, Concord, NC 28025-2911 2007-01-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316006869 Min S. Ahn, Md PC Otolaryngology 2 Connector Rd, Westborough, MA 01581-3969 2006-12-08
1285666719 Frank P Fechner Otolaryngology 428 Shrewsbury St, Worcester, MA 01604-1661 2006-07-07
1689611295 Ramsey Alsarraf Otolaryngology 69 Newbury St, The Newbury Center, Boston, MA 02116-3063 2006-06-01
1922076421 Roger Allen Allcroft Otolaryngology 163 Conz St, Northampton, MA 01060-3848 2006-03-09
1689668915 Central Ear Nose & Throat Assoc PC Otolaryngology 295 Lincoln St, Suite 101, Worcester, MA 01605-3639 2005-09-01
1134526429 North Shore Ear, Nose & Throat Otolaryngology 104 Endicott St, Suire 100, Danvers, MA 01923-3623 2014-12-02
1750790663 Nathan Jowett Otolaryngology 243 Charles St, Boston, MA 02114-3002 2014-08-05
1356682033 Ent Surgery Associates, LLC Otolaryngology 725 Concord Ave, 2300, Cambridge, MA 02138-1040 2013-03-06
1376888255 Bethany J. King, Md, LLC Otolaryngology 61 Locust St, Ste. 2, Northampton, MA 01060-2546 2012-12-04
1659608180 Bentkover Facial Plastic Surgery & Laser Center Otolaryngology 92 Montvale Ave., Suite 3000, Stoneham, MA 02180 2009-11-04
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Competitor

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City CONCORD
Zip Code 01742

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Dataset Information

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.

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