KATIE BROUILLARD O'BRIEN (NPI# 1801048921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801048921 |
| Entity Type | Individual |
| Full Name | KATIE BROUILLARD O'BRIEN |
| Credential | NP |
| Practice Address |
36 Adams Street Quincy MA 02169 |
| Practice Telephone | 6177739805 |
| Practice Fax Number | 6174725400 |
| Mailing Telephone | 6177730711 |
| Mailing Fax Number | 6173762271 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2012-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 284603 | MA | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | 284603 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851949077 | Katie Allison O'brien | Social Worker | 1041 John Sims Pkwy E Ste 304, Niceville, FL 32578-2712 | 2019-08-30 |
| 1447637053 | Katie O'brien | Counselor | 11 Knightsbridge Ct, Saint Peters, MO 63376-3688 | 2015-05-04 |
| 1366708836 | Katie Lynn O'brien | Dermatology | 500 Chadwick Street, Sewickley, PA 15143 | 2012-04-09 |
| 1285299891 | Katie Arlene O'brien | Counselor | 815 S Pearl St, Tacoma, WA 98465-2117 | 2019-05-08 |
| 1275197063 | Katie Anne O'brien | Dietitian, Registered | 400 Harborside Dr, Galveston, TX 77550 | 2019-04-26 |
| 1063899201 | Katie O'brien | Registered Nurse | 317 York Ave, Saint Paul, MN 55130-4039 | 2015-04-27 |
| 1407136369 | Katie O'brien | Pharmacist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2011-08-24 |
| 1780836619 | Katie O'brien | Occupational Therapist | 16120 Ne 8th St, Bellevue, WA 98008-3937 | 2008-10-22 |
| Street Address |
36 ADAMS STREET |
| City | QUINCY |
| State | MA |
| Zip Code | 02169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366825838 | Amy Krupski | Clinical Nurse Specialist | 36 Adams Street, Quincy, MA 02169 | 2015-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942406210 | Associates of South Shore Dermatology | Dermatology | 5oo Congress St, 2h, Quincy, MA 02169 | 2007-06-25 |
| 1013122167 | William J. Hanshaw, M.d., P.C. | Dermatology | 903 Vermont St, Quincy, IL 62301-3049 | 2007-05-11 |
| 1629003686 | Elise Bilodeau Mccarthy | Dermatology | 36 Adams St, Quincy, MA 02169-2002 | 2006-07-11 |
| 1902870876 | William J Hanshaw | Dermatology | 903 Vermont Street, Quincy, IL 62301 | 2006-02-15 |
| 1750862611 | Sara Balakrishnan | Dermatology | 36 Adams St, Quincy, MA 02169-2002 | 2018-08-28 |
| 1467932251 | Integrated Dermatology of Massachusetts, LLC | Dermatology | 500 Congress St Ste B1, Quincy, MA 02169-0917 | 2018-08-21 |
| 1477937480 | Dermasap Pllc | Dermatology | 500 Congress St, B1, Quincy, MA 02169-0908 | 2015-07-20 |
| 1962899534 | Associates of South Shore Dermatology LLC | Dermatology | 300 Congress St, Ste 408, Quincy, MA 02169-0907 | 2015-04-22 |
| 1558756759 | Atrius Health, Inc. | Dermatology | 500 Congress St, Suite 3c, Quincy, MA 02169-0908 | 2015-04-03 |
| 1710387386 | Associates of South Shore Dermatology LLC | Dermatology | 300 Congress St, Ste 408, Quincy, MA 02169-0907 | 2014-09-02 |
| Find all providers in QUINCY | ||||
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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.