DR. MANDY SARA COLES (NPI# 1851372759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851372759 |
| Entity Type | Individual |
| Full Name | DR. MANDY SARA COLES |
| Credential | M.D. |
| Practice Address |
850 Harrison Avenue Yacc 5 Boston MA 02118 |
| Mailing Address |
720 Harrison Ave Dob 503 Boston MA 02118-2371 |
| Practice Telephone | 6174145946 |
| Practice Fax Number | 6174144541 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2014-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 253765 | MA | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
253765 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110094529A | 05 |
| Street Address |
850 HARRISON AVENUE YACC 5 |
| City | BOSTON |
| State | MA |
| Zip Code | 02118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245796887 | Sigride Jean-sicard | Nurse Practitioner | 850 Harrison Avenue, Yawkey 4, Boston, MA 02118 | 2019-02-19 |
| 1992164933 | Melissa Nelson | Advanced Practice Midwife | 850 Harrison Avenue, Yacc 5, Boston, MA 02118 | 2016-02-18 |
| 1689054108 | Ashley Lauren Comfort | Obstetrics & Gynecology | 850 Harrison Avenue, Yacc 5, Boston, MA 02118-4001 | 2015-06-01 |
| 1053687558 | Jessica C. Brick | Pediatrics | 850 Harrison Avenue, Yacc 5, Boston, MA 02118 | 2012-03-28 |
| 1407169717 | Sara Nicole Stulac | Pediatrics | 850 Harrison Avenue, Yawkey 4, Boston, MA 02118 | 2010-07-16 |
| 1992026983 | Lakedra S. Pam | Obstetrics & Gynecology | 850 Harrison Avenue, Yacc 5, Boston, MA 02118-4001 | 2010-06-14 |
| 1124354691 | Marie G. Cantave-ayer | Nurse Practitioner | 850 Harrison Avenue, Yacc, 3rd Floor, Boston, MA 02118-4001 | 2009-10-19 |
| 1417114059 | Caroline J Kistin | Pediatrics | 850 Harrison Avenue, Yacc Bn-c7, Boston, MA 02118 | 2008-05-21 |
| 1902071640 | Megan Elizabeth Young | Internal Medicine | 850 Harrison Avenue, Yacc 3rd Floor, Boston, MA 02118 | 2008-04-24 |
| 1720205404 | Melissa T Nass | Pediatrics | 850 Harrison Avenue, Yacc 5, Boston, MA 02118 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366855306 | Frinny R Polanco Walters | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-06-07 |
| 1821415936 | Shannon L. Fitzgerald | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-03-26 |
| 1710225503 | Michal Youngster | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2013-01-29 |
| 1669730685 | Sarah A Golub | Pediatrics | 300 Longwood Ave, Boston, MA 02115 | 2012-04-27 |
| 1417236167 | Julia E Potter | Pediatrics | 850 Harrison Ave, Yacc 5, Boston, MA 02118-4001 | 2011-08-12 |
| 1235422478 | Carly Guss | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2011-05-20 |
| 1831406032 | Maude Veilleux Lemieux | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2010-09-09 |
| 1568669497 | Lorraine Freed Garg | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2007-07-03 |
| 1467656595 | Sarah Pitts | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2007-06-13 |
| 1770608648 | N. Lynn Eckhert | Pediatrics | Harvard Medical International, 1135 Tremont St., Boston, MA 02120 | 2007-03-20 |
| Find all providers in BOSTON | ||||
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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.