CHARLES LEON ANDERSON JR. (NPI# 1720072390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720072390 |
| Entity Type | Individual |
| Full Name | CHARLES LEON ANDERSON JR. |
| Credential | MD |
| Practice Address |
127 University Ave Westwood MA 02090 |
| Mailing Address |
23 Craigie Ter Newton MA 02460-2106 |
| Practice Telephone | 7816861608 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2019-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
75583 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3127991 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 1538608575 | Charles Anderson | Social Worker | 145 W K St, Casper, WY 82601-1018 | 2017-02-22 |
| 1922451194 | Charles Anderson | Counselor | 4250 River Center Ct Ne, Suite D, Cedar Rapids, IA 52402-7546 | 2016-07-22 |
| 1790172013 | Charles Anderson | Marriage & Family Therapist | 825 Webster St Ste D, Fairfield, CA 94533-5522 | 2015-04-24 |
| 1083054274 | Charles Lee Anderson | Dentist | 2240 E Windrow Ave, Fort Huachuca, AZ 85613-7040 | 2013-07-02 |
| 1427390970 | Charles Anderson Iv | Counselor | 1445 Hartford Ter, Alpharetta, GA 30004-0661 | 2013-03-22 |
| 1376896084 | Charles Nolis Anderson | Pharmacist | 17605 S. Halsted Street, Homewood, IL 60430 | 2012-10-18 |
| 1720377179 | Charles E Anderson | Pharmacist | 3030 Market Ave N, Canton, OH 44714-1428 | 2011-04-06 |
| 1831494194 | Charles Robert Anderson | Behavioral Analyst | 1892 Hollow Oak Dr, Kingston, OK 73439-9745 | 2011-01-18 |
| 1255635215 | Charles H. Anderson | Counselor | 631 Spanish Oak Ct, Arlington, TX 76002-4535 | 2011-01-06 |
| Street Address |
127 UNIVERSITY AVE |
| City | WESTWOOD |
| State | MA |
| Zip Code | 02090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746203 | Imed Rx PC | Acupuncturist | 127 University Ave, Westwood, MA 02090-2325 | 2019-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144782467 | Partners Urgent Care, LLC | Clinic/Center | 90 Brigham Way, Westwood, MA 02090 | 2019-04-04 |
| 1659860351 | Shiqian Shen | Dentist | 100 High St Lowr Level, Westwood, MA 02090 | 2018-05-08 |
| 1326585951 | Urgent Care of Westwood, LLC | Clinic/Center | 211 University Avenue, Westwood, MA 02090 | 2017-01-20 |
| 1538419403 | Kevin L Longval | Counselor | 24 Willow St., Westwood, MA 02090 | 2012-09-18 |
| 1952590846 | Ann Marie Leahy | Registered Nurse | 31 Carroll Avenue, Westwood, MA 02090 | 2007-10-17 |
| 1144363524 | Lauren E Dore | Acupuncturist | Westwood Wellness Center, 745 High Street, Westwood, MA 02090 | 2007-02-15 |
| 1033258827 | Heena K Lee | Pediatrics | Westwood Mansfield Pediatric Assoc, 541 High Street, Westwood, MA 02090 | 2007-02-06 |
| 1730241324 | Stephen William Stolfors | Counselor | 789 Clapboarttree Street, Westwood, MA 02090 | 2006-12-14 |
| 1225106859 | Paul H Arkema | Psychiatry & Neurology | 45 Clpaboardtree Street, Westwood, MA 02090 | 2006-12-01 |
| 1134292097 | Marc Andre Pizzuto | Social Worker | 725 High St Ste 200, Westwood, MA 02090 | 2006-11-16 |
| Find all providers in zip 02090 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295810778 | The Bergen County Neonatal Center, PC | Pediatrics | 250 Old Hook Rd, Westwood, NJ 07675-3123 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811371123 | Neha Chaudhary | Pediatrics | 330 Brookline Ave # Rose313, Boston, MA 02215-5400 | 2015-07-16 |
| 1578950770 | Lauren Frazer | Pediatrics | 300 Longwood Ave # Enders9, Boston, MA 02115 | 2015-04-25 |
| 1821312893 | Ruggero Spadafora | Pediatrics | 912 Beacon St, Boston, MA 02215-3016 | 2010-03-19 |
| 1902003544 | Sonal Saxena Patel | Pediatrics | 660 Washington St, Apt 7h, Boston, MA 02111-3200 | 2007-06-28 |
| 1710188016 | Michael J Corwin | Pediatrics | Carestat, Inc., 180 Wells Avenue, Newton, MA 02459 | 2007-05-31 |
| 1740301993 | Richard M Cowett | Pediatrics | 157 Pine Hill Rd, Boxborough, MA 01719-1915 | 2007-04-03 |
| 1568505964 | Kenneth M Huttner | Pediatrics | Interlenkin Genetrics, Inc., 135 Beaver Street, Waltham, MA 02452 | 2007-02-15 |
| 1073693412 | Ann Stark | Pediatrics | 330 Brookline Ave # Rose3, Boston, MA 02215 | 2006-10-17 |
| 1063432482 | Silvia Patrizi | Pediatrics | New England Medical Center, 750 Washington St, Newborn Med, Boston, MA 02111 | 2006-07-20 |
| 1588693667 | Sadath A. Sayeed | Pediatrics | 651 Huntington Ave, 6th Floor, Fxb, Division of Medical Ethics, Boston, MA 02115-6009 | 2006-07-01 |
| Find all providers with the same taxonomy | ||||
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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.