JESSICA SMALL (NPI# 1699736587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699736587 |
| Entity Type | Individual |
| Full Name | JESSICA SMALL |
| Credential | MD |
| Practice Address |
1611 Cambridge St Cambridge MA 02138-4302 |
| Practice Telephone | 6176615500 |
| Mailing Telephone | 6176615500 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2013-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 214185 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 214185 | 01 |
| MA | 2115131 | 05 | |
| MA | BLUE CROSS LEGACY PROV# | J25619 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447613716 | Jessica Small | Massage Therapist | 102 E Redoubt Ave, Soldotna, AK 99669-8012 | 2016-04-03 |
| 1184027807 | Jessica Small | Licensed Practical Nurse | 107 B Fahm St, Savannah, GA 31401 | 2014-10-08 |
| 1497178883 | Jessica Small | Marriage & Family Therapist | 10955 Westmoor Dr, Westminster, CO 80021-2704 | 2014-01-21 |
| 1033540687 | Jessica Demerise Small | Counselor | 202 Exchange St, Bangor, ME 04401-6508 | 2013-12-09 |
| 1336481035 | Jessica Ann Small | Pharmacist | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2013-03-20 |
| 1063675510 | Jessica Mehring Small | Internal Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2008-07-04 |
| Street Address |
1611 CAMBRIDGE ST |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598747412 | Margaret Rose Barsam | Pediatrics | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2005-11-16 |
| 1295218501 | Seema Mitesh Patel | Pharmacist | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2018-09-12 |
| 1104311737 | Maura Jean Dipietro | Registered Nurse | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2018-06-26 |
| 1841678299 | Atrius Health, Inc. | Chiropractor | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2015-05-18 |
| 1851725246 | Natalie Ann Briggs | Physical Therapist | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2013-08-21 |
| 1437494267 | Clarence Theodore Dennis | Nurse Practitioner | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2012-12-05 |
| 1043561616 | Bronwyn Kate Mastrangelo | Physician Assistant | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2012-09-24 |
| 1821347865 | Kathryn Marie Kahn | Registered Nurse | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2012-09-06 |
| 1316295801 | Jacqueline Marie Burke | Pharmacist | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2012-08-15 |
| 1821373671 | David Johnson | Nurse Practitioner | 1611 Cambridge St, Harvard Vanguard Medical Associates, Bh Dept., Cambridge, MA 02138-4302 | 2011-10-12 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1356828586 | Occupational Medicine of Massachusetts, PC | Family Medicine | 8 Museum Way #1306, Cambridge, MA 02141 | 2018-07-20 |
| 1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
| 1427256635 | Kyong Park | Family Medicine | 360 Binney St, Cambridge, MA 02142-1011 | 2007-07-10 |
| 1396871984 | Stanley M Hochberg | Family Medicine | Med Ventive, 1 Kendall Sq Bldg 200, Cambridge, MA 02139 | 2007-02-26 |
| 1033286703 | Mark Mumford Malkus | Family Medicine | 408 Byrn St, Cambridge, MD 21613-1910 | 2006-11-29 |
| 1699848770 | Buckeye Medical Group | Family Medicine | 918 Woodlawn Ave, Cambridge, OH 43725-2949 | 2006-11-16 |
| 1942373170 | David W Ray LLC | Family Medicine | 61353 Southgate Rd Ste 6, Cambridge, OH 43725-6607 | 2006-11-16 |
| 1699845867 | Earl Edwin Conaway Jr. | Family Medicine | 1198 Clark St, Cambridge, OH 43725-1636 | 2006-11-08 |
| 1184702409 | Lennie J Deaver | Family Medicine | 309 Nelson St, Cambridge, NE 69022-3592 | 2006-11-02 |
| Find all providers in CAMBRIDGE | ||||
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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.