JERRY R RITTENHOUSE (NPI# 1831124916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831124916 |
| Entity Type | Individual |
| Full Name | JERRY R RITTENHOUSE |
| Credential | M.D. |
| Practice Address |
3 Woodland Rd Suite 216 Stoneham MA 02180-1702 |
| Practice Telephone | 7819790661 |
| Mailing Telephone | 7819790661 |
| Mailing Fax Number | 7819790372 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 74093 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | RR MEDICARE | 340005511 | 01 |
| MA | BCBS | J10977 | 01 |
| MA | 3119394 | 05 |
| Street Address |
3 WOODLAND RD SUITE 216 |
| City | STONEHAM |
| State | MA |
| Zip Code | 02180-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083139588 | Zhiyu Zhang | Acupuncturist | 3 Woodland Rd, Stoneham, MA 02180-1702 | 2017-08-07 |
| 1114452547 | Mystic Valley Urological Associates, Inc | Urology | 3 Woodland Rd, Suite 216, Stoneham, MA 02180-1702 | 2017-04-24 |
| 1639526973 | North Suburban Cardiology Associates, P.C. | Internal Medicine | 3 Woodland Rd, Suite 421, Stoneham, MA 02180-1702 | 2016-05-17 |
| 1134588106 | Samila Francois | Nurse Practitioner | 3 Woodland Rd, Suite 322, Stoneham, MA 02180-1702 | 2016-02-18 |
| 1184983959 | Tsapman J. Lee Md LLC | Internal Medicine | 3 Woodland Rd, Suite#312, Stoneham, MA 02180-1702 | 2012-05-14 |
| 1467747816 | Alla Goldburt | Family Medicine | 3 Woodland Rd, Suite 119, Stoneham, MA 02180-1702 | 2011-06-14 |
| 1760776892 | Omar Rashid Qureshi | Anesthesiology | 3 Woodland Rd, Suite 322, Stoneham, MA 02180 | 2011-06-07 |
| 1487946224 | North Shore Family Dentistry, Pllc | Dentist | 3 Woodland Rd, Suite 417, Stoneham, MA 02180-1702 | 2011-05-12 |
| 1578870671 | Vitreoretinal Consultants Inc. | Ophthalmology | 3 Woodland Rd, Suite 210, Stoneham, MA 02180-1702 | 2010-09-10 |
| 1639480460 | Carrie Marie Guernsey | Dentist | 3 Woodland Rd, Suite 417, Stoneham, MA 02180-1702 | 2010-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073092839 | Ann M Campbell | Social Worker | 490 William St, Stoneham, MA 02180 | 2018-08-12 |
| 1669997243 | Melissa Meskell, Lmhc | Clinic/Center | 38 Montvale Avenue Suite 327, Stoneham, MA 02180 | 2017-08-04 |
| 1033593306 | Melissa Zeitlin | Counselor | 178 North St, Stoneham, MA 02180 | 2015-07-16 |
| 1053708370 | Michael Stangler | Dentist | 2 Main St Ste 225, Stoneham, MA 02180 | 2015-04-24 |
| 1699086397 | Kimberly Y Chin | Acupuncturist | 105 Marble Street, Apt 7, Stoneham, MA 02180 | 2010-06-28 |
| 1538305446 | John Nyaga Njine | Registered Nurse | 5 Glen Rd, Apt 110, Stoneham, MA 02180 | 2008-12-23 |
| 1427189000 | Stoneham Public Schools | Local Education Agency (LEA) | 149 Franklin St., Stoneham, MA 02180 | 2007-03-08 |
| 1487715181 | Bernard J Augot, Jr. | Acupuncturist | Acupuncture Health Care Ctr., 370 Main Street, Stoneham, MA 02180 | 2006-12-13 |
| 1730257684 | Advantage Sports Medicine & Physical Therapy,inc. | Physical Therapist | 245 North Street, Stoneham, MA 02180 | 2006-11-30 |
| 1851465538 | Town of Stoneham | Public Health or Welfare | 35 Central Street, Stoneham, MA 02180 | 2006-11-17 |
| Find all providers in zip 02180 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174727960 | Joshua Michael Stern | Urology | 3 Woodland Rd Ste 216, Mystic Valley Urology, Stoneham, MA 02180-1711 | 2007-06-13 |
| 1881628642 | Arthur Foster Little IIi | Urology | Mystic Valley Urological, 3 Woodland Rd Ste 216, Stoneham, MA 02180 | 2006-07-10 |
| 1114452547 | Mystic Valley Urological Associates, Inc | Urology | 3 Woodland Rd, Suite 216, Stoneham, MA 02180-1702 | 2017-04-24 |
| 1770996175 | Zachary Benjamin Koloff | Urology | 3 Woodland Rd Ste 216, Stoneham, MA 02180 | 2014-06-04 |
| 1689903882 | Mystic Valley Urological Assoc Inc | Urology | 3 Woodland Rd, Suite 216, Stoneham, MA 02180-1702 | 2009-12-17 |
| 1346411493 | Sheaumei Tsai | Urology | 3 Woodland Rd, Suite 216, Stoneham, MA 02180-1702 | 2008-03-17 |
| 1740295575 | Mystic Valley Urological Associates Inc. | Urology | 3 Woodland Rd, Suite 216, Stoneham, MA 02180-1702 | 2006-07-30 |
| 1437184454 | Paul F Kelly | Urology | 3 Woodland Rd, Suite 216, Stoneham, MA 02180-1702 | 2006-07-11 |
| 1780619700 | Peter N Tiffany | Urology | 3 Woodland Rd, Suite 216, Stoneham, MA 02180-1702 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568099737 | Kelly Lindert | Urology | 68 Chester St, Arlington, MA 02476-7607 | 2020-03-26 |
| 1619464781 | Osama Alalao | Urology | 655 Concord Ave Apt 702, Cambridge, MA 02138-1086 | 2018-04-15 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1366983322 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Physician Community I Inc, 41 Mall Rd., Burlington, MA 01805-0001 | 2017-03-10 |
| 1447707450 | Yonah Krakowsky | Urology | 200 Boylston St # A309, Chestnut Hill, MA 02467-2012 | 2016-09-07 |
| 1952796518 | Filipe La Fuente De Carvalho | Urology | 55 Fruit St Dept of Urology, Boston, MA 02114-2621 | 2015-03-31 |
| 1487087375 | Abdulsalam Ahmed Albalawi | Urology | 88 Thornton Rd, 88, Chestnut Hill, MA 02467-3611 | 2013-08-14 |
| 1083955538 | Eugene Blanchard Cone | Urology | 55 Fruit St - Grb 1100, Massachusetts General Hospital - Department of Urology, Boston, MA 02114 | 2013-03-08 |
| 1881946929 | David T Mahony | Urology | 223 Fairview Ave, Brockton, MA 02301-2907 | 2012-10-14 |
| 1710240395 | Chintan Patel | Urology | 85 Prescott St Ste 403, Worcester, MA 01605-2671 | 2012-06-19 |
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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.