MICHAEL V DITULLIO JR MD LLC (NPI# 1750573739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750573739 |
| Entity Type | Organization |
| Organization Name | MICHAEL V DITULLIO JR MD LLC |
| Practice Address |
55 Fogg Rd South Weymouth MA 02190-2432 |
| Mailing Address |
944 Washington St Suite One South Easton MA 02375-1177 |
| Practice Telephone | 7813408632 |
| Mailing Telephone | 5082388646 |
| Mailing Fax Number | 5082309772 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |
| Authorized Official Name | DR. MICHAEL V DITULLIO (PHYSICAN) |
| Authorized Official Telephone | 5082388646 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 32515 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
55 FOGG RD |
| City | SOUTH WEYMOUTH |
| State | MA |
| Zip Code | 02190-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699773135 | Joseph M. Lenehan | Surgery | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2005-07-08 |
| 1326645953 | Anna-lisa Abbatangelo Kilduff | Nurse Practitioner | 55 Fogg Rd, South Weymouth, MA 02190-2455 | 2020-10-06 |
| 1740801299 | Travis Cory Caldarone | Nurse Anesthetist, Certified Registered | 55 Fogg Rd, South Weymouth, MA 02190-2455 | 2020-05-06 |
| 1114566114 | Michelle Upton | Social Worker | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2019-12-23 |
| 1205483989 | Melissa Anne Dinunno | Advanced Practice Midwife | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2019-08-19 |
| 1871076554 | Mildred Mccarthy | Social Worker | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2018-09-10 |
| 1649753302 | Heather Lynn Hartigan | Hospitalist | 55 Fogg Rd, South Weymouth, MA 02190-2455 | 2018-09-10 |
| 1659852135 | Stephanie Cate Cully | Social Worker | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2018-08-23 |
| 1427535483 | Christine Dundon | Registered Nurse | 55 Fogg Rd, South Weymouth, MA 02190-2455 | 2018-07-23 |
| 1174015879 | Baotran Trannguyen | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2018-05-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154532992 | Tracy L. Ansay | Neurological Surgery | 851 Main St Ste 11, South Weymouth, MA 02190 | 2007-05-24 |
| 1093984742 | Kurtus Dafford | Neurological Surgery | 780 Main St, South Weymouth, MA 02190-1622 | 2008-02-27 |
| 1295939379 | Juan Ramon Ortega-barnett | Neurological Surgery | 780 Main St, South Weymouth, MA 02190-1622 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1376021279 | Felix Nwajei | Neurological Surgery | 725 Albany St # 7c, Boston, MA 02118-2526 | 2018-08-02 |
| 1740627579 | Christian Strong | Neurological Surgery | 75 Francis St # Ab-136, Boston, MA 02115-6110 | 2013-06-03 |
| 1194080010 | Scott B Raymond | Neurological Surgery | 2 Medical Center Dr Ste 503, Springfield, MA 01107-1273 | 2012-07-06 |
| 1346510344 | Tbsg LLC Shc | Neurological Surgery | 32 Newton St, Southborough, MA 01772-1215 | 2012-01-06 |
| 1518251834 | Zachary Luke Tataryn | Neurological Surgery | 197 Beacon St, Apartment 3r, Boston, MA 02116-1461 | 2011-06-03 |
| 1629306378 | Mark S. Klein, Md, Pa | Neurological Surgery | 7501 Surratts Rd., Suite 204, Clinton, MA 20735 | 2009-11-18 |
| 1497997894 | Teodoro Forcht Dagi | Neurological Surgery | 423 Commonwealth Ave, Newton Centre, MA 02459-1301 | 2009-03-31 |
| 1104076132 | Donald W Marion | Neurological Surgery | 35 High Rock Rd, Wayland, MA 01778-3607 | 2008-09-26 |
| 1598932154 | Yi Lu | Neurological Surgery | 75 Francis St, Ca455, Department of Neurosurgery, Brigham & Women's Hospital, Boston, MA 02115-6110 | 2008-05-13 |
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| City | SOUTH WEYMOUTH |
| Zip Code | 02190 |
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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.