DR. DAVID WAYNE HARRISON (NPI# 1790775369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790775369 |
Entity Type | Individual |
Full Name | DR. DAVID WAYNE HARRISON |
Credential | MD |
Practice Address |
19-21 Norwood St Everett MA 02149-2709 |
Mailing Address |
Po Box 9142 Charlestown MA 02129-9142 |
Practice Telephone | 6173947500 |
Practice Fax Number | 6173947576 |
Mailing Telephone | 6173947500 |
Mailing Fax Number | 6173947576 |
Enumeration Date | 2005-10-25 |
Last Update Date | 2014-11-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 216239 | MA | Allopathic & Osteopathic Physicians |
Y | 208000000X | Pediatrics | 216239 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BCBS MA | J28526 | 01 |
MA | TUFTS HEALTH PLAN | 468008 | 01 |
MA | 2100134 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
1801174818 | David J Harrison | Massage Therapist | 8007 122nd Ave E, Parrish, FL 34219-8511 | 2011-07-25 |
1780614222 | David K Harrison | Chiropractor | 2870 East Beltline Ave Ne, Grand Rapids, MI 49525 | 2006-07-03 |
1497702302 | David L Harrison | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2006-05-27 |
1619949039 | David Holt Harrison | Obstetrics & Gynecology | 1404 River Pl Ste 303, Braselton, GA 30517-5600 | 2006-02-02 |
1871575902 | David Loc Harrison | Dentist | 1 Essex Ave, Gloucester, MA 01930-4927 | 2005-11-15 |
1679185581 | David Charles Harrison | Specialist/Technologist | 534 Wallace Rd, Ames, IA 50011-4008 | 2020-08-21 |
1972069136 | David Edward Harrison | Physician Assistant | 501 Sunset Ln, Culpeper, VA 22701-3917 | 2019-02-13 |
1073043808 | David J Harrison | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2017-06-14 |
1104189000 | David Zachary Harrison | Emergency Medicine | 1200 N State St, Room 1060h, Los Angeles, CA 90033-1029 | 2012-06-17 |
Street Address |
19-21 NORWOOD ST |
City | EVERETT |
State | MA |
Zip Code | 02149-2709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306836093 | Jennifer Lynn Mccauley | Internal Medicine | 19-21 Norwood St, Mgh Everett Family Care, Everett, MA 02149-2709 | 2005-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
Find all providers in zip 02149 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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/certificatio - 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 |
---|---|---|---|---|
1649789595 | Mark Edward Beatty | Pediatrics | 3020 Rucker Ave Ste 306, Everett, WA 98201-3900 | 2017-09-22 |
1366804510 | Arsany Basily | Pediatrics | 1815 13th St, Everett, WA 98201-1679 | 2016-03-27 |
1548691785 | Children's Community Care | Pediatrics | 249 Hospital Dr Lowr Level, Everett, PA 15537-7020 | 2013-12-12 |
1912235060 | Molina Healthcare of Washington, Inc | Pediatrics | 3322 Broadway, Suite 200, Everett, WA 98201-4425 | 2009-12-01 |
1689700155 | Upmc Community Medicine Inc | Pediatrics | 14 E 3rd Ave, Everett, PA 15537-1305 | 2007-02-26 |
1164479002 | Peter E Masucci, Md, PC | Pediatrics | 391 Broadway, Suite 301, Everett, MA 02149-3470 | 2006-05-27 |
1598753733 | Yvonne Qing Ma | Pediatrics | 1019 112th St Sw, Everett, WA 98204-4875 | 2005-10-12 |
1649665829 | Elizabeth Abernathey | Pediatrics | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2015-04-03 |
1366861494 | Rachel Skalina | Pediatrics | 1424 Broadway, Everett, WA 98201-1720 | 2014-04-16 |
1730507393 | Sarah Louise Pinney | Pediatrics | 1818 121st St Se, Everett, WA 98208-5985 | 2014-04-01 |
Find all providers in EVERETT |
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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.