KENNETH A MARSHALL (NPI# 1831138825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831138825 |
Entity Type | Individual |
Full Name | KENNETH A MARSHALL |
Credential | M.D. |
Practice Address |
204 Worcester St Wellesley Hills MA 02481-5420 |
Practice Telephone | 7814896757 |
Practice Fax Number | 7814896751 |
Mailing Telephone | 7814896757 |
Mailing Fax Number | 7814896751 |
Enumeration Date | 2006-06-05 |
Last Update Date | 2011-10-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
29067 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UNITED HEALTH PLAN | 1300019 | 01 | |
HARVARD PILGRIM | 21045 | 01 | |
AETNA/USHEALTH CARE | 0537907 | 01 | |
TUFTS | 600215 | 01 | |
MA | BLUE CROSS | B11256 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831556653 | Kenneth Keala Marshall | Social Worker | 5306 Ballard Ave Nw Ste 210, Seattle, WA 98107 | 2016-01-25 |
1023415940 | Kenneth Marshall | Physical Therapist | 12 Lilac Dr, Apt 1, Rochester, NY 14620-3268 | 2014-11-20 |
1831410562 | Kenneth D Marshall | Emergency Medicine | 54 Murray Hill Rd, Cambridge, MA 02140-1038 | 2010-06-16 |
1922146885 | Kenneth Douglas Marshall | General Practice | 915 N Capitol Ave, Indianapolis, IN 46204-1004 | 2007-02-02 |
1790321230 | Kenneth Marshall | Case Manager/Care Coordinator | 445 E Dublin Granville Rd, Worthington, OH 43085-3192 | 2019-11-19 |
1689952772 | Kenneth E Marshall | Family Medicine | 9 N Crane Ave, Spencer, IN 47460 | 2011-07-25 |
1043294416 | Kenneth Alan Marshall | Anesthesiology | 2131 E State St, Athens, OH 45701-2138 | 2005-11-30 |
Street Address |
204 WORCESTER ST |
City | WELLESLEY HILLS |
State | MA |
Zip Code | 02481-5420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
1023673977 | Alka Swarup | Occupational Therapist | 10 Hunnewell Street, Wellesley Hls, MA 02481 | 2019-05-07 |
1740779511 | Marianne Brandon | Psychologist | Marianne Brandon Phd, 25 Walnut St #202, Wellesley Hills, MA 02481 | 2018-05-07 |
1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
1942677224 | Sandra Schwartz | Physical Therapist | Summit Orthopedic Therapy, 40 Washington Street, Wellesly, MA 02481 | 2015-08-21 |
1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
1124458344 | Allison Arrigg | Counselor | 11 Chapel Place, Human Relations Service, Wellesley Hills, MA 02481 | 2013-11-25 |
1932531472 | Abigail Gorman Daunis | Physical Therapist | 34 Washington St., Wellesley, MA 02481 | 2013-08-07 |
Find all providers in zip 02481 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538701776 | Nepsc-lowell LLC | Surgery | 33 Village Square, Chelmsford, MA 01824 | 2019-10-09 |
1336792498 | Dexterity Hand Surgery, LLC | Surgery | 100 Unicorn Park Dr Ste 102, Woburn, MA 01801-3379 | 2019-07-18 |
1528280203 | Plastic Surgery Specialists | Surgery | 332 Washington St., Wellesley, MA 02481 | 2007-05-03 |
1568584852 | Jeffrey H Lee | Surgery | 170 Commonwealth Avenue, St 112, Boston, MA 02116 | 2007-04-06 |
1750423711 | Curtis Ngau | Surgery | 231 Worcester Rd, Framingham, MA 01701-5346 | 2007-02-13 |
1821195439 | Richard A Peinert | Surgery | Post Office Square, Lynnfield Medical Build, Lynnfield, MA 01940 | 2006-09-19 |
1710095559 | Katherine D Hein Md PC | Surgery | 117 West Central Street, Suite 203, Natick, MA 01760 | 2006-08-29 |
1598780363 | Katherine D Hein | Surgery | 117 W Central Street, Suite 203, Natick, MA 01760-4383 | 2006-07-13 |
1932148939 | Sumner A Slavin | Surgery | 200 Boylston St Ste 307, Chestnut Hill, MA 02467-2008 | 2006-06-05 |
1396783601 | John E Fattore | Surgery | 825 Washington St, Ste 390, Guild Medical Building, Norwood, MA 02062 | 2006-06-02 |
Find all providers with the same taxonomy |
City | WELLESLEY HILLS |
Zip Code | 02481 |
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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.