DR. DANIEL P. GAPOSCHKIN (NPI# 1821194879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821194879 |
| Entity Type | Individual |
| Full Name | DR. DANIEL P. GAPOSCHKIN |
| Credential | M.D/PH.D. |
| Practice Address |
40 Second Ave Suite #400 Waltham MA 02154 |
| Mailing Address |
8 Mannion Pl Littleton MA 01460-2229 |
| Practice Telephone | 7814874350 |
| Mailing Telephone | 9789526545 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2012-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 222235 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2081245 | 05 |
| Street Address |
40 SECOND AVE SUITE #400 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710978622 | Stephen Takeo Nishiyama | Pediatrics | 40 Second Ave, Ste 400, Waltham, MA 02451 | 2005-10-31 |
| 1396936498 | Devasena Balasubramaniam | Internal Medicine | 40 Second Ave, Mass General West, Waltham, MA 02451 | 2007-08-05 |
| 1932257698 | Theresa A Schnorr | Nurse Practitioner | 40 Second Ave, Suite 340, Waltham, MA 02451 | 2007-01-08 |
| 1043382393 | Donna Ann Stampone | Nurse Practitioner | 40 Second Ave, Waltham, MA 02451 | 2006-11-14 |
| 1831276310 | Judith A Manzer | Nurse Anesthetist, Certified Registered | 40 Second Ave, Suite 200, Waltham, MA 02451 | 2006-11-01 |
| 1083674352 | Charles A Kelly | Anesthesiology | 40 Second Ave, Waltham, MA 02451 | 2006-03-23 |
| 1619942661 | Arthur King-fan Tong | Dermatology | 40 Second Ave, Mass General West, Waltham, MA 02451 | 2006-02-22 |
| 1417921149 | Aubrey J Katz | Pediatrics | 40 Second Ave, Mass General West, Waltham, MA 02451 | 2006-02-17 |
| 1467443259 | Jeffrey A Biller | Pediatrics | 40 Second Ave, Ste 340 Mass General West, Waltham, MA 02451 | 2005-11-02 |
| 1518958131 | Christina Gelev | Internal Medicine | 40 Second Ave, Suite 400 Mass General Medical Group, Waltham, MA 02451-1132 | 2005-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710070313 | Mass General West Pharmacy | Clinic/Center | 40 Second Avenue, 4th Floor Pharmacy, Waltham, MA 02154 | 2006-10-02 |
| 1114018850 | Mary Paula Lutz | Internal Medicine | 200 West Street, Parexel International, Waltham, MA 02154 | 2006-09-27 |
| 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 |
|---|---|---|---|---|
| 1578083119 | Srk Md, LLC | Internal Medicine | 210 Bear Hill Rd Ste 304, Waltham, MA 02451-1025 | 2017-06-25 |
| 1790929123 | Bard J Geesaman | Internal Medicine | 55 Black Bear Dr, Apartment # 1423, Waltham, MA 02451-0248 | 2009-04-29 |
| 1316112949 | Joanna Ellen Schwartz | Internal Medicine | 52 Second Avenue Suite 2000, Primary Care Associates, Waltham, MA 02451 | 2008-04-24 |
| 1992827067 | Elenie C Bartzokis | Internal Medicine | 1000 Winter St, Waltham, MA 02451-1436 | 2007-04-06 |
| 1205962891 | William S Kaden | Internal Medicine | Mass Pro, 235 Wyman Street, Waltham, MA 02451 | 2007-02-26 |
| 1912041963 | Nathaniel Gunn | Internal Medicine | 201 Jones Rd, 4th Floor, Waltham, MA 02451-1600 | 2007-02-16 |
| 1942344635 | David M Margulies | Internal Medicine | 307 Waverley Oaks Rd, Suite 101, Waltham, MA 02452-8413 | 2007-02-16 |
| 1790822062 | Linda H Pololi | Internal Medicine | Brandeis University-ms.088, Waltham, MA 02454 | 2007-01-30 |
| 1396850442 | Maria A Ponsillo | Internal Medicine | 200 West St, Waltham, MA 02451-1121 | 2006-08-20 |
| 1609883255 | Denise S Basow | Internal Medicine | 95 Sawyer Rd, Waltham, MA 02453-3471 | 2006-08-02 |
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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.