PRITHVI SREENIVASAN (NPI# 1750597704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750597704 |
| Entity Type | Individual |
| Full Name | PRITHVI SREENIVASAN |
| Credential | M.D |
| Practice Address |
189 Quincy St Brockton MA 02302-2967 |
| Mailing Address |
189 Quincy Street Brockton MA 02302 |
| Practice Telephone | 5085886700 |
| Practice Fax Number | 5085843010 |
| Mailing Telephone | 5085886700 |
| Mailing Fax Number | 5085843010 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2017-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
261516 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 008019617 | 05 |
| Street Address |
189 QUINCY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-2967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386694149 | Gastrointestinal Specialists, LLC | Internal Medicine | 189 Quincy St, Brockton, MA 02302-2926 | 2006-05-11 |
| 1639730278 | Alison Verdone | Registered Nurse | 189 Quincy St, Brockton, MA 02302-2967 | 2019-06-25 |
| 1194287888 | Gis Services 2, LLC | Internal Medicine | 189 Quincy St, Brockton, MA 02302-2967 | 2019-04-02 |
| 1467950741 | Linesary Cezaire | Nurse Practitioner | 189 Quincy St, Brockton, MA 02302-2967 | 2018-02-01 |
| 1558721506 | Bethany Lusk | Dietitian, Registered | 189 Quincy St, Brockton, MA 02302-2967 | 2016-03-03 |
| 1316223894 | Gastrointestinal Specialists, LLC | Internal Medicine | 189 Quincy St, Brockton, MA 02302-2967 | 2011-10-27 |
| 1114257136 | Community Anesthesia LLC | Nurse Anesthetist, Certified Registered | 189 Quincy St, Brockton, MA 02302-2926 | 2010-01-14 |
| 1831114149 | Mark L Finklestein | Internal Medicine | 189 Quincy St, Brockton, MA 02302-2926 | 2006-07-13 |
| 1467477794 | Jerry S Stern | Internal Medicine | 189 Quincy St, Brockton, MA 02302-2926 | 2006-07-13 |
| 1104859628 | Daniela Prodanovic | Internal Medicine | 189 Quincy St, Brockton, MA 02302-2926 | 2006-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386694149 | Gastrointestinal Specialists, LLC | Internal Medicine | 189 Quincy St, Brockton, MA 02302-2926 | 2006-05-11 |
| 1720054786 | Joel B Solomon | Internal Medicine | 190 Quincy Ave, Brockton, MA 02302 | 2006-02-28 |
| 1194287888 | Gis Services 2, LLC | Internal Medicine | 189 Quincy St, Brockton, MA 02302-2967 | 2019-04-02 |
| 1316223894 | Gastrointestinal Specialists, LLC | Internal Medicine | 189 Quincy St, Brockton, MA 02302-2967 | 2011-10-27 |
| 1831114149 | Mark L Finklestein | Internal Medicine | 189 Quincy St, Brockton, MA 02302-2926 | 2006-07-13 |
| 1467477794 | Jerry S Stern | Internal Medicine | 189 Quincy St, Brockton, MA 02302-2926 | 2006-07-13 |
| 1104859628 | Daniela Prodanovic | Internal Medicine | 189 Quincy St, Brockton, MA 02302-2926 | 2006-07-08 |
| 1700819224 | Alex A Teixeira | Internal Medicine | 189 Quincy St, Brockton, MA 02302-2926 | 2006-07-08 |
| 1497795561 | Andrew Douglas Stone | Internal Medicine | 189 Quincy St, Brockton, MA 02302-2926 | 2006-06-07 |
| 1508804949 | Signature Healthcare Medical Group, Inc. | Internal Medicine | 680 Centre St, Brockton, MA 02302-3308 | 2006-06-04 |
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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.