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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110089465A | 05 |
Street Address |
54 BAKER AVENUE EXT SUITE 303 |
City | CONCORD |
State | MA |
Zip Code | 01742-2137 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 01742 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
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. |
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 |
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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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.