MRS. AMANDA ELIZABETH DIDAS


Address: 333 Longwood Ave, Boston, MA 02115-5711
Phone: 6173554593

MRS. AMANDA ELIZABETH DIDAS (NPI# 1851558969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851558969
Entity Type Individual
Full Name MRS. AMANDA ELIZABETH DIDAS
Credential PA-C
Practice Address 333 Longwood Ave
Boston
MA 02115-5711
Practice Telephone 6173554593
Practice Fax Number 6177300337
Mailing Telephone 6173554593
Mailing Fax Number 6177300337
Enumeration Date 2008-05-19
Last Update Date 2014-03-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YP0228X Otolaryngology
Specialization: Pediatric Otolaryngology
AP2350 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
DEA MC1618997 01
MA MASS CONTROLLED SUBSTANCE MC0681874J 01
MA MASSACHUSETTS PA LICENSE AP2350 01

Office Location

Street Address 333 LONGWOOD AVE
City BOSTON
State MA
Zip Code 02115-5711

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285619155 Herbert Boerstling Pediatrics 333 Longwood Ave, Children's Hospital, Boston, MA 02115-5711 2005-12-13
1790390771 Amanda Welty Student in an Organized Health Care Education/Training Program 333 Longwood Ave, Boston, MA 02115-5711 2020-09-15
1407466956 Anna Docurral Social Worker 333 Longwood Ave, Boston, MA 02115-5711 2020-08-08
1750917142 Haidee Cano Social Worker 333 Longwood Ave, Boston, MA 02115-5711 2020-03-17
1053950899 Elsey Weisberg Dietitian, Registered 333 Longwood Ave, Boston, MA 02115-5711 2019-12-26
1427699313 Carolina Luz Ruiz Valenzuela Dietitian, Registered 333 Longwood Ave, Boston, MA 02115-5711 2019-10-02
1184272031 Kathryn Doss Broughton Audiologist 333 Longwood Ave, Boston, MA 02115-5711 2019-09-03
1184187585 Megan Skerry Speech-Language Pathologist 333 Longwood Ave, Boston, MA 02115-5711 2019-04-11
1790253771 Jessica Geist Dietitian, Registered 333 Longwood Ave, Boston, MA 02115-5711 2018-11-07
1174003651 Celina Chan Dietitian, Registered 333 Longwood Ave, Boston, MA 02115 2018-08-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
1417564279 Katherine Rose Brainard Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-09-25
1679189112 Tara Baxter Orthopaedic Surgery Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 2020-09-21
1053923110 Wendy Tu Student in an Organized Health Care Education/Training Program 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 2020-08-20
1477177335 Nicolas Wyvekens Student in an Organized Health Care Education/Training Program 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 2020-06-05
1669095923 Erin Crocker Student in an Organized Health Care Education/Training Program Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 2020-05-21
1033732417 Tyler Francis Hayes Student in an Organized Health Care Education/Training Program Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 2020-05-20
1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
1891315495 Stephanie Schoch Student in an Organized Health Care Education/Training Program 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 2020-04-23
1427678093 Meghan Miles Student in an Organized Health Care Education/Training Program 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 2020-04-23
Find all providers in zip 02115

Taxonomy Information

Taxonomy Code 207YP0228X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Pediatric Otolaryngology

Taxonomy Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225546419 Gerard Thong Otolaryngology Department of Otolaryngology, Boston Childrens Hospital, 330 Longwood Avenue, Bch 3129, Boston, MA 02115 2018-01-22
1265857536 Julie Elizabeth Strychowsky Otolaryngology 333 Longwood Ave. 3rd Floor, Boston Children's Hospital, Boston, MA 02115 2014-02-24
1043840432 Fergal Kavanagh Otolaryngology 300 Longwood Ave, Boston, MA 02115-5724 2020-01-24
1568935831 Ross Joseph O'shea Otolaryngology 300 Longwood Ave, Boston, MA 02115-5724 2019-01-09
1679015168 Richard Benjamin Speaker Otolaryngology 300 Longwood Ave, Boston Children's Hospital Bch3129, Boston, MA 02115-5724 2016-11-15
1376843268 Stephen Kieran Otolaryngology 300 Longwood Ave, Department of Otolaryngology Chidlren's Hospital Boston, Boston, MA 02115 2010-10-26
1487819785 Jacob Raemer Brodsky Otolaryngology 300 Longwood Ave, Lo-367, Boston, MA 02115-5724 2008-07-25
1477523546 Michael Adrian Williams Otolaryngology 133 Brookline Ave, Boston, MA 02215-3904 2006-01-23
1811988181 Michael J. Cunningham Otolaryngology 243 Charles St, Boston, MA 02114-3002 2005-11-04
1568453660 Donald G. Keamy Jr. Otolaryngology 243 Charles St, Boston, MA 02114-3002 2005-10-31
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02115

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Dataset Information

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.

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