EDWARD SHASHOUA (NPI# 1811916802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811916802 |
| Entity Type | Individual |
| Full Name | EDWARD SHASHOUA |
| Credential | D.O. |
| Practice Address |
2500 Massachusetts Ave Cambridge MA 02140-1628 |
| Practice Telephone | 6176616225 |
| Practice Fax Number | 6174922002 |
| Mailing Telephone | 6176616225 |
| Mailing Fax Number | 6174922002 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2011-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 217054 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2020351 | 05 |
| Street Address |
2500 MASSACHUSETTS AVE |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02140-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386639946 | Lucille Shore - Schein | Internal Medicine | 2500 Massachusetts Ave, Cambridge, MA 02140 | 2005-09-20 |
| 1225595135 | Hqc Acupuncture PC | Acupuncturist | 2500 Massachusetts Ave, Cambridge, MA 02140 | 2019-02-27 |
| 1578078275 | Holistic Medicine LLC | Nutritionist | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2017-12-05 |
| 1871746610 | Karen A Deane | Physical Therapist | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2008-10-24 |
| 1902058647 | Scott Mcdonough | Physical Therapist | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2008-10-14 |
| 1184825960 | Donna George | Nurse Practitioner | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2007-05-30 |
| 1518006253 | Deborah Morrill | Registered Nurse | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2007-02-06 |
| 1497810600 | Susan Carroll | Dietitian, Registered | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2006-12-27 |
| 1568527786 | Steven Genduso | Massage Therapist | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2006-12-27 |
| 1558426759 | Abdallah Maalouf | Chiropractor | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
| 1043837990 | Nancy Villa | Community/Behavioral Health | 10 Concord Tpke, Cambridge, MA 02140 | 2020-06-26 |
| 1356976625 | Jennifer Ahonen | Nurse Practitioner | 36 White Street, Cambridge, MA 02140 | 2020-03-07 |
| 1366961120 | Boston Eye Care Center, LLC | Ophthalmology | 2464 Massachusetts Ave Ste 200, Cambridge, MA 02140 | 2017-09-13 |
| 1992225015 | Figen Esen | Student in an Organized Health Care Education/Training Program | 160 Cabridgepark Drive, Apt 295, Cambridge, MA 02140 | 2017-06-20 |
| 1063870038 | Kelli Swensen | Dietitian, Registered | 160 Cambridge Park Dr, 168, Cambridge, MA 02140 | 2016-02-05 |
| 1851731822 | Gabriella Maree Pugliese | Pharmacist | 822 Somerville Ave, Cambridge, MA 02140 | 2013-07-04 |
| 1609211531 | Hyuna Lee | Dentist | 160 Cambridgepark Drive, Suite 390, Cambridge, MA 02140 | 2013-05-06 |
| 1740555366 | Aesook Kwon | Registered Nurse | 1493 Cambrige St, Cambridge Hospital, Cambrige, MA 02140 | 2012-03-14 |
| 1740557743 | In Sync Physical Therapy, LLC | Clinic/Center | 1798a Massachusetts Avenue, Suite 2, Cambridge, MA 02140 | 2011-11-19 |
| Find all providers in zip 02140 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1578952255 | Christian Mewaldt | Internal Medicine | 90 Hancock St Apt 3, Cambridge, MA 02139 | 2015-01-17 |
| 1922413582 | Stephanie Johanna Mascia | Internal Medicine | 625 Mount Auburn St Ste 104, Cambridge, MA 02138-4518 | 2014-06-23 |
| 1770920217 | Judy Yee Kwok | Internal Medicine | 163 Gore Street, Cambridge, MA 02149-2420 | 2013-05-23 |
| 1063857969 | Jia Liu | Internal Medicine | 24 Lilac Ct, Cambridge, MA 02141-1912 | 2013-05-06 |
| 1891923199 | Nelson Kisob Aweh | Internal Medicine | 255 Garden St, Apt # 7, Cambridge, MA 02138-1256 | 2009-06-24 |
| 1326275017 | Anthony Andrew Philippakis | Internal Medicine | 53 Ellery St # 2, Cambridge, MA 02138-4230 | 2009-06-19 |
| 1386871317 | Elaine Hsieh | Internal Medicine | 141 Larch Road, Cambridge, MA 02138-0213 | 2009-06-17 |
| 1134372618 | Lisa Lynn Vonmoltke | Internal Medicine | 35 Landsdowne St, Cambridge, MA 02139-4232 | 2008-10-29 |
| 1447427117 | Andrew Marc Schutzbank | Internal Medicine | 240 Norfolk St, Cambridge, MA 02139-1423 | 2008-05-13 |
| Find all providers in CAMBRIDGE | ||||
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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.