DEDHAM MEDICAL ASSOCIATES INC (NPI# 1780684860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780684860 |
| Entity Type | Organization |
| Organization Name | DEDHAM MEDICAL ASSOCIATES INC |
| Practice Address |
1 Lyons St Dedham MA 02026-5599 |
| Mailing Address |
Po Box 9120 Dedham MA 02027-9120 |
| Practice Telephone | 7813291400 |
| Practice Fax Number | 7812785664 |
| Mailing Telephone | 7813291400 |
| Mailing Fax Number | 7812785667 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MR. RICHARD M RUSSO (CFO) |
| Authorized Official Telephone | 7812785540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ========= | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9766596 | 05 | |
| MA | 9766626 | 05 | |
| MA | 9766618 | 05 | |
| MA | 9766634 | 05 | |
| MA | 9766545 | 05 | |
| MA | 9766588 | 05 | |
| MA | 9766529 | 05 | |
| MA | 9766561 | 05 | |
| MA | 9766537 | 05 | |
| MA | 9766553 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720005234 | Dedham Medical Associates Inc | Internal Medicine | 1 Lyons St, Dedham, MA 02026-5599 | 2006-07-17 |
| 1265430094 | Dedham Medical Associates Inc | Internal Medicine | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-14 |
| Street Address |
1 LYONS ST |
| City | DEDHAM |
| State | MA |
| Zip Code | 02026-5599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680488 | Michael S Shusterman | Pediatrics | 1 Lyons St, Dedham, MA 02026-5599 | 2005-06-27 |
| 1760014732 | Kwai Ying Lam | Dietitian, Registered | 1 Lyons St, Dedham, MA 02026-5599 | 2020-02-07 |
| 1841857422 | Lauren Elizabeth Rogerson | Physical Therapist | 1 Lyons St, Dedham, MA 02026-5599 | 2019-05-20 |
| 1619453859 | Mathew Steven Sadowski | Physical Therapist | 1 Lyons St, Dedham, MA 02026-5599 | 2018-07-11 |
| 1689160269 | Brittany Thibodeau | Audiologist | 1 Lyons St, Dedham, MA 02026-5599 | 2018-07-06 |
| 1568964054 | Mario Fernando Jaramillo | Technician/Technologist | 1 Lyons St, Dedham, MA 02026-5599 | 2018-03-01 |
| 1902338023 | Laurie Cook | Technician/Technologist | 1 Lyons St, Dedham, MA 02026-5599 | 2017-03-29 |
| 1952858441 | Nicole Marie Ikeda | Physician Assistant | 1 Lyons St, Dept. of Dermatology, Dedham, MA 02026 | 2016-09-01 |
| 1982072153 | Atrius Health, Inc. | Dietitian, Registered | 1 Lyons St, Dedham, MA 02026-5599 | 2015-09-04 |
| 1336521319 | Michael Tanzi | Technician/Technologist | 1 Lyons St, Dedham, MA 02026-5599 | 2015-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
| 1497354674 | Lifetime Physical Therapy | Physical Therapist | 453 Sprague St, Dedham, MA 02026 | 2020-10-20 |
| 1164060067 | Healthy Healing Home Care Agency LLC | In Home Supportive Care | 3 Allied Dr Suite 303, Dedham, MA 02026 | 2019-12-11 |
| 1689149023 | Alyssa Michel | Counselor | 20 E Astbrook Rd, Suite 104, Dedham, MA 02026 | 2018-10-12 |
| 1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
| 1598283848 | Jason Peltier | Physical Therapist | 606 Providence Highway, Dedham, MA 02026 | 2017-09-07 |
| 1558883371 | Padme Physical Therpay | Clinic/Center | 227 Legacy Place Boulevard, Stil Studio, Dedham, MA 02026 | 2017-07-13 |
| 1851828107 | Pm Pediatrics of New England | Pediatrics | 719 Providence Highway, Dedham, NY 02026 | 2017-05-17 |
| 1740715846 | Stil Legacy Dedham | Physical Therapist | 227 Legacy Place, Dedham, MA 02026 | 2017-04-26 |
| 1053856310 | Donald Hughes | Social Worker | 270 Bridge Street, Suite 301, Dedham, MA 02026 | 2016-12-22 |
| Find all providers in zip 02026 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776123 | Dalton Medical Group LLC | Surgery | 352 Main St Unit 6, Falmouth, MA 02540-3175 | 2020-10-07 |
| 1689281610 | Cornell Medical LLC | Surgery | 200 Unicorn Park Dr Ste 302, Woburn, MA 01801-3342 | 2020-09-24 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1427546365 | New England Hernia Center LLC | Surgery | 20 Research Pl Ste 130, North Chelmsford, MA 01863-2455 | 2018-04-26 |
| 1255869731 | Yurie Sekigami | Surgery | 800 Washington St, Box 437, Boston, MA 02111-1552 | 2017-05-30 |
| 1194263046 | Wound Care Specialists | Surgery | 785 Williams St # 172, Longmeadow, MA 01106-2063 | 2017-02-10 |
| 1932550670 | Asish C Misra | Surgery | 110 Francis St, Suite 9b, Beth Israel Deaconess - Surgical Education, Boston, MA 02215 | 2016-06-23 |
| 1306295225 | Michael Hong Jr. | Surgery | 100 Jersey St Apt 601, Boston, MA 02215-4806 | 2016-06-10 |
| 1043666548 | North Suburban Surgical Associates | Surgery | 191 Clifton St, Belmont, MA 02478-2603 | 2016-05-13 |
| 1295110971 | Benjamin Grajales Mdpc | Surgery | 50 Memorial Dr Ste 204, Leominster, MA 01453-2238 | 2015-07-23 |
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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.